Heart Transplant Surgery Treatment & Procedures

Heart transplant have been performed since long at Fortis Group. And today our centres are internationally recognized benefitting patients with end-stage heart failure across the globe. We also focus on stabilization of patients as they await donor heart and alternative options for patients who are not candidates for transplant.

HEART TRANSPLANT

Indications for Heart Transplant

The indication for heart transplantation is stated as: ‘End-stage of heart disease not remediable by more conservative measures’.

Contra-Indications

Irreversible pulmonary hypertension/elevated pulmonary vascular resistance; active systemic infection; active malignancy or history of malignancy with probability of recurrence; inability to comply with complex medical regimen; severe peripheral or cerebrovascular disease and irreversible dysfunction of another organ, including diseases that may limit prognosis after heart transplantation.

Considering the difficulties in defining end-stage heart failure, estimating prognosis in the individual patient and the continuing evolution of available therapies, the present criteria are broadly defined. The final acceptance is done by the transplant team which has extensive knowledge of the treatment of patients with advanced heart failure on the one hand and thorough experience with heart transplantation and ECMO on the other hand.

Heart transplant may be considered as a viable option in many situations including heart valve abnormalities, congenital heart diseases and heart tumors; but irreversible heart muscle damage and cardiomyopathy being the two most common reasons for patients to undergo heart transplant.

Steps followed in a heart transplant surgery

The following steps will be involved in a heart transplant surgery:

Step 1:

A potential candidate for heart transplant will first undergo a series of medical investigations

Step 2:

After Once determined eligible for transplantation. Patient one will be registered on the Tamil Nadu Network for Organ Sharing (TNOS) list, which comprises all individuals who are waiting for an organ transplant. The waiting period for a heart depends on various parameters, including blood type, body size, immunologic match and the position on the list etc.

Step 3:

While waiting a donor heart, it is critical for patients to work with the transplant team to maintain a lifestyle that ensures optimal health before transplantation. Also during this waiting period, the patients depending on the hearts condition may receive an external mechanical circulatory support device such as ECMO, VADs, etc.

Step 4:

Since a heart harvested will be in good health only for a few hours, patients awaiting a donor heart might be called for surgery at any time. The surgery typically takes about 6 hours. Post the surgery, the patients will be observed in the cardiac critical care unit for a couple of days and after that they will be shifted to the inpatient ward. The average hospital stay post the surgery is about 2 – 3 weeks.

Associated risk

As with any surgery, complications may occur during or post the surgery. Potential risks associated may include, but are not limited to, the following: Bleeding during or after the surgery, Kidney failure, Blood clots that lead to heart attack, stroke or lung problems, breathing problems. And sometimes the new heart may be rejected by the recipient’s immune system. To allow the transplanted heart to fit in a new body, immuno suppressants may be prescribed for life-long which may have certain side effects.

VENTRICULAR ASSIST DEVICES (VADs)

Pioneer in LVAD implant as permanent therapy in India, our doctors have a vast experience with VADs implant as a bridge to transplant and as a permanent support for patients who are not candidates for heart transplant.

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