Heart transplant is an operation in which a failing or diseased heart is replaced with healthier donor heart. It is a major operation with good chances of survival. It is done for patients suffering from end stage heart disease which can be caused by conditions as:
- Dilated Cardiomyopathy
- Ischaemic Cardiomyopathy
- Congenital Heart Disease, which was not corrected early in age
Preparation of the patient is to be done weeks to months before
The heart condition is evaluated at a heart transplantation center to see if patient would benefit from the transplantation.
The evaluation of all other systems like kidney, liver, lungs etc. is done, and the body is checked for infections (viral, fungal, bacterial etc.)
The patient has a supportive network from family and friends. If everything shows that the patient is a good candidate for heart transplant, the center will register the patient with the “Jeevandan” trust. While you are on a waiting list your condition will be monitored and if condition worsens then you will be put on a life support system like: inotropic support, ventilation, IABP or ECMO. When the donor heart is available, the donor recipient matching is done using the following factors:
- Blood group (A, B, AB, or O)
- Antibodies in recipients (PRA levels)
- Size of donor organ
After harvesting the donor heart, it is preserved at the low temperature (4° C), transferred to the heart transplant center and transplanted to the recipient with in the 4 to 5 hours time. Heart Transplant surgery usually takes about 4 hours. The chest will be opened and patient connected to a heart lung machine. The diseased heart is then removed and donor heart is sewn in place. The new heart starts beating when blood flow is restored. Patient will be on ventilator till he recovers from the surgery.
After the procedure patient will remain in the hospital for a week or two, then closely monitored at the OPD transplant center for 3 months. There will be regular blood test, Echocardiogram etc.
Immunosuppressants decrease the activity of your immune system, so that your body accepts the new heart. These medications will have to be taken for the rest of your life. Initially the medication will be of higher dosage and overtime it will be decreased. For some people who can’t have a heart transplant another option may be a ventricular device (VAD). A VAD is a miniature artificial pump which is attached to the heart; it sucks the blood from the heart and pumps in to the main artery of body (aorta). It runs on batteries which will be outside of the body. VAD can be used as a permanent treatment for the heart failure.
Patient Testimonials For Cardiology
Dear Doctor sir, I am Harry raja, B/O- Harry Susai Raj who got his 2stents
I underwent transcatheter mitral valve replacement at Yashoda hospital. Not
Mrs. Monika Ailwadi underwent two procedures with Dr. V. Rajasekhar at Yashoda
Hole in Heart (Atrial Septal Defect) Treatment Without Open-Heart Surgery: Hole
Partial anomalous pulmonary venous connection (PAPVC) is a rare congenital
Treatment for a hole in the heart without surgery by Dr. Pramod Kumar at
Health Blogs for Cardiology
Transcatheter Aortic Valve Replacement (TAVR) for severe aortic valve stenosis
Sep 13, 2019 15:35
Transcatheter Aortic Valve Replacement (TAVR) is helpful for patients with aortic stenosis, who are very weak and cannot tolerate a major heart surgery.
Blocked arteries – 5 tips to slow the process down!
Aug 25, 2019 01:09
Next time you undergo a lipid profile, make sure your total cholesterol and HDL are in the normal range. High total cholesterol increases your risk for arterial plaque, heart disease, and stroke. However, HDL has a protective effect on your body.
హార్ట్ ఫెయిల్యూర్ అంటే ఏమిటి… రాకుండా తీసుకోవాల్సిన జాగ్రత్తలేమిటి?
May 21, 2019 16:13
గుండె మన శరీరంలో ఒక ప్రధానమైన అవయవం. శరీరంలో అవయవాలన్నింటికీ నిరంతరం రక్తం సరఫరా చేస్తుండే ఒక అద్భుతమైన పంపింగ్ మోటార్ ఇది. ఈ రక్తప్రసరణ వల్లనే అన్ని అవయవాలకూ పోషకాలు, ఆక్సిజన్ అందడం మాత్రమే కాకుండా రక్తంలో చేరిన కార్బన్ డై ఆక్సైడ్, శరీరంలోని జీవక్రియల వల్ల ...
Rhythms of the Heart
Apr 26, 2019 15:06
For the heart to pump blood through the body, it needs an electrical impulse to start a heartbeat. This electrical impulse fires first in an area of the heart called the sino-artial (S-A) node. The S-A node gives off electrical impulses that make the heart beat 60 to 100 times per minute under normal conditions.
All About the Cardiac Pacemaker
Apr 12, 2019 18:39
A pacemaker is a device that regulates the heart beat. If your doctor recommends a pacemaker for you, you will need to undergo surgery for it to be implanted. This reference summary explains how pacemakers work, and the benefits and risks of having one.
What is cardiac rehabilitation and who should get it?
Feb 16, 2019 12:40
Cardiac rehabilitation, also known as cardiac rehab, is an organized approach for improving the quality of life, preventing and reducing the recurrence of cardiac events in persons suffering from heart diseases. Cardiac rehabilitation program aims to improve the physical, emotional and functional life of such persons.
మీ గుండె స్పందనలు నెమ్మదిస్తే పేస్ మేకర్ గుండె స్పందనలను ఆరోగ్యకరస్థాయిలో ఉండేట్లు నియత్రిస్తుంటుంది
Feb 06, 2019 14:30
గుండె తగినంత వేగంతో కొట్టుకునేందుకు వీలుకల్పిస్తూ వ్యక్తిశరీరంలో అమర్చే పరికరమే పేస్ మేకర్. గుండె స్పందనలలో విపరీత వ్యత్యాసాలను అదుపుచేయటానికి సంబంధించి ఇది ప్రపంచవ్యాప్తంగా ఆదరణ పొందుతున్నది. కొన్నిరకాల గుండెవ్యాధులతో సమస్యలు ఎదుర్కొంటున్న వారికి కొత్త జీవితాన్ని అందిస్తున్నది
TAVR – Treating severe aortic valve stenosis without surgery
Jan 18, 2019 17:16
Transcatheter Aortic Valve Implantation/Replacement (TAVI/TAVR) is a less invasive procedure (not surgery) to replace the failing aortic valve. A transcatheter heart valve is a biological tissue valve made of human, pig or cow heart tissue.
హార్ట్ ఫెయిల్యూర్ అంటే ఏమిటి మరియు లక్షణాలు ఎలా ఉంటాయి
Jan 08, 2019 14:57
గుండె మార్పిడి చేయటం ద్యారా వీరి జీవితకాల పరిమితిని గణనీయంగా పెంచవచ్చు. జీవన్ ధాన్ క్రింద పేరు నమోదు చేసుకోవడం అవసరం హార్ట్ ట్రాన్స్ ప్లాంటేషన్ తర్వాత జాగ్రత్తలు తీసుకుంటూ మాత్రలు వాడటం ద్యారా హార్ట్ ఫెయిల్యూర్ వ్యాదిగ్రస్తుల తదుపరి జీవిత పరిమితులను తగ్గించి జీవితకాలన్ని పెంచవచ్చు.
Primary angioplasty for Acute Myocardial infarction
Nov 19, 2018 10:32
Myocardial Infarction (MI or heart attack) is a medical emergency wherein the irreversible death of heart muscles occurs due to prolonged lack of oxygen. Over the past decades, treatment for myocardial infarction has evolved considerably. Immediate coronary angiography followed by primary angioplasty is a commonly used procedure to treat MI.
Heart Attacks are Becoming Common in Indian Youth
Jun 11, 2018 15:48
As a result of the changing lifestyle, cardiologists and cardiac surgeons, say cases of heart attacks are being reported at least a decade and half before the typical high risk age. In India, the age of people at risk of getting heart attack is anywhere between 25 years and 35 years.
Heart Diseases and Cardiac Arrest in Women
Mar 12, 2018 15:53
Heart diseases still stand tall as the leading cause of death and disability worldwide. Usually, because of poor or late diagnosis and choices of treatment, heart diseases are not effectively managed in India. The warning signs may vary person to person. While men experience chest pain and discomfort as major warning signs, women experience certain symptoms that are not related to heart.
5 Major Heart Diseases, Causes, Symptoms and Risk factors
Oct 12, 2017 07:52
Types of Heart Diseases: Heart is not just a biological organ that pumps blood to various parts of the body but it is also associated with numerous feelings and emotions. Be it excitement, anxiety, happiness, grief or sadness, Heart reacts, responds and reciprocate every such emotion. This is exactly why Heart is considered as mirror that reflects whole body activities and tasks.
What is the difference between Heart attack and Cardiac arrest?
Jul 19, 2016 11:30
For many heart attack and cardiac arrest are the same, however a detailed understanding of the two helps to know the difference. Heart diseases or cardiovascular diseases include a range of conditions that affect the heart and blood vessels. Heart diseases like the heart attack and cardiac arrest are very common heart conditions. There is […]
Don’t ignore discomfort or pain in chest, a sign of myocardial ischemia
May 05, 2016 04:20
Myocardial Ischemia is a condition where there is reduced blood flow and lack of oxygen supply to the heart. Myocardial Ischemia occurs when there is partial or complete blockage of heart arteries. In this condition, the heart cannot perform its normal activity of pumping blood to different organs, resulting in damage of heart muscle, abnormal […]
Hypertensive Heart Disease or High blood pressure
Apr 25, 2016 04:48
High blood pressure or hypertension is a common heart condition which features high pressure of the blood on artery walls. Blood pressure in the arteries is determined by two factors, the amount of blood the heart pumps, and the amount of resistance in the arteries. Significantly, there may be hypertension without any symptoms. Uncontrolled high […]
A chronic heart condition caused by rheumatic fever that can be prevented and controlled
Apr 18, 2016 04:46
Rheumatic heart disease or rheumatic fever is an inflammatory disease results due to neglect of strep throat or scarlet fever. Strep throat or scarlet fever are caused by streptococcus, a bacteria. Usually seen in children of 5 – 15 years, rheumatic heart disease has its terrible impact on adult’s health. The fall-out of rheumatic heart […]
All you need to know about Heart Valve Diseases
Apr 02, 2016 08:54
What are heart valve diseases? Heart valve disease is a condition wherein one or more of the heart valves are working as expected. The human heart has four valves which open and shut in sync with the heart’s rhythm. Heart Valves play a very important role in ensuring blood flows in the correct direction within […]
Transcatheter Mitral Valve Replacement (TMVR) for mitral valve diseases
Mar 30, 2016 09:22
Transcatheter Mitral Valve Replacement (TMVR) Transcatheter Mitral Valve Replacement (TMVR) is a rare and complex procedure performed to replace the dysfunctional or leaking mitral valve. TMVR is a nonsurgical, minimally invasive procedure performed at very few centers in India. Yashoda Hospitals Secunderabad recently performed this procedure in a 75-year-old man who was having a dysfunctional […]
Coronary artery disease
Mar 15, 2016 05:53
Accumulation of plaque or cholesterol deposits may lead to coronary artery disease Coronary artery disease is a condition where the blood vessels that supply blood to the heart are damaged. Accumulation of plaque or cholesterol deposits is considered as the primary cause of coronary artery disease. The plague build-up in the arteries decreases the blood […]
Atrial Fibrillation: Complications addressed early may save lives
Mar 10, 2016 06:47
Heart palpitations, shortness of breath and weakness may signal Atrial Fibrillation. Atrial fibrillation is a condition of the heart characterized by rapid heart-beat with increased risk of stroke, heart failure and other complications. In this condition, the upper two chambers of the heart (the atria) beat irregularly, this is against the normal beat of the […]
Life before, during and after heart transplant
Mar 05, 2016 05:34
A heart transplant is a surgical procedure where the diseased heart is replaced by a healthy heart taken from the cadaver. Heart transplant is undertaken as the last course, only after all other treatments/ medications fail. Heart failure is the major factor that leads to heart transplant. Heart failure may occur due to, coronary artery […]
Arrhythmia, the common heart disease
Nov 30, 2015 05:09
Introduction Arrhythmia is a condition where the heart beat is irregular. Usually, the normal heart beats 50 to 100 times per minute, in case of arrhythmia the heart rate is less than 50 times or more than 100 times per minute. The underlying causes of arrhythmia are well known, history of heart diseases, electrolyte imbalance […]
Enlarged Heart: What are its causes?
Nov 27, 2015 06:31
Introduction Enlarged heart condition is also called as Cardiomegaly, which is not a disease but a signal for a possible disorder or health issue. An x-ray of the heart reveals the change in the shape of the heart, little oversize than normal. A few other tests are also prescribed to study the heart’s enlargement. A […]
A Health Heart means a Happy Life – Yashoda Hospitals Heart Check-up
Nov 24, 2015 06:42
The heart is a very vital organ of the body. The heart beats all through the life of the human being (begins beating from four weeks after conception up to death of the human), with 1,00,000 times a day, and 2.5 billion times in the life time. The human heart’s primary role is to pump […]
How To Handle Cardiac Emergencies?
Nov 20, 2015 10:20
Chest Pain (Angina Petoris) Chest pain may be seen in people suffering from diabetes, high cholesterol, and high blood pressure. A sedentary lifestyle, drinking and smoking in excess and a family history of heart disease can also trigger chest pain. Chest pain follows reduced flow of blood to the heart. Angina’s symptoms are seen as […]
Benefits of Minimally Invasive Cardiac Bypass Surgery (MICS)
Oct 21, 2015 09:30
Minimally invasive surgery, an innovation of the recent times, makes the surgical procedures less traumatic. The minimally invasive Heart Bypass Surgery or Cardiac surgery (MICS) is different to the conventional cardiac surgeries where the breast bone is split into two (sternotomy). The sternotomy incisions range from 8 to 10 inches, while the MICS incisions are […]
Atrial Fibrillation – Keeping the heart’s electrical system in order
Mar 11, 2015 10:30
Atrial fibrillation (AF) is defined as an irregular and frequently rapid heart rate that causes poor blood flow to the body. The two upper chambers of the heart, called atria, beat in a disorganized way and out of coordination with the two lower chambers of the heart, called ventricles. In India, there is very little […]
Adult Congenital Heart Disease Symptoms And Treatement
Mar 11, 2015 09:19
Adult congenital heart disease (CHD) includes a population of two types of patients. One with disease diagnosed during childhood and subsequently treated but need follow-up during adult years. The other category with disease diagnosed during adult years due to no show of symptoms. It is basically an abnormality in the structure of the heart that […]