Advanced Heart & Lung Transplant in Hyderabad
Yashoda Hospitals, Hyderabad has world-class infrastructure and cutting-edge technology for the treatment of patients. The advanced technology in the Department of Heart & Lung Transplant include:
Mechanical Circulatory Support Devices (MCS)
MCS Devices are small, electrically powered devices that help a failing heart to pump blood around the body. Depending on individual patient needs, these devices support either the left ventricle when it is called a Left Ventricular Assist Device (LVAD), the right ventricle (RVAD), or both ventricles (BIVAD). It is most commonly used to support the left ventricle. Sometimes it is necessary to replace both left and right heart pumping chambers with a Total Artificial Heart (TAH).
Such mechanical support may be required for short, intermediate, or long-term use as appropriate for either a bridge, to recover the heart function, for heart transplantation, or as permanent therapy. A permanent or destination therapy (OT) implantation of MCS support may be recommended for patients with advanced heart failure who either because of their advanced age or because of other medical conditions, are not suitable candidates for heart transplantation.
Left Ventricular Assist Device (LVAD): LVAD, most commonly used type, is a mechanical pump that serves as a partial artificial heart. Implanted during an open procedure, an LVAD helps the left ventricle pump oxygen-rich blood to the aorta and the body. These devices can be very effective in treating patients awaiting heart transplantation (bridge to transplant therapy), those who aren’t candidates for heart transplantation (destination therapy), and those with cardiac conditions such as advanced heart failure, cardiomyopathy, and myocarditis.
Right Ventricular Assist Devices (RVAD): Similar to LVAD another device which helps the heart failure patients is the Right ventricular assist device (RVAD). RVAD helps the right ventricle pump blood to the pulmonary artery that carries blood to the lungs to pick up oxygen. RVADs usually are used only for short-term support.
Bi-ventricular Assist Devices (BiVAD): BiVAD is used when both the ventricles of the heart fail to pump the blood (i.e from the right ventricle into lungs and the left ventricle out to the body). When LVAD and RVAD are used in combination, they are called a BiVAD. A BiVAD is a battery-operated pump that helps both your right and left ventricles move blood through your heart.
Artificial Heart: This is a pump that is surgically installed to provide circulation and replace heart ventricles that are diseased or damaged. The ventricles pump blood out of the heart to the lungs and other parts of the body. This is indicated in patients having heart failure caused by ventricles that no longer pump blood well enough, needing long-term support. This can be considered as an alternative treatment in certain patients who are unable to receive a heart transplant.
Who needs an MCS device?
Patients with heart and lung failure are ideal candidates for heart-lung transplantation. While on the waitlist, some individuals may need short-term MCS assistance prior to transplant. Such patients may need more long-term support. MCS devices serve as a bridge to transplantation or as a long-term destination treatment.
How does a left ventricular assist device work?
This device works by pumping blood through a continuous flow from the left ventricle to the aorta. The pump is connected to the driveline and controls the cardiovascular system. The driveline passes from the device through the skin on to the abdomen to the controller outside the body.
What are the risks of a VAD?
Implantation using a ventricular assist device (VAD) involves certain risks such as blood clots, bleeding, infection and device malfunctions.