A heart transplant is the surgical replacement of the diseased or failing heart with a healthy heart from a donor. it's the simplest option for patients who have unsuccessfully tried all other treatment modalities including medications, heart surgeries, devices, etc. for his or her heart disorder. Are you looking for a Low-Cost Heart Transplant in India? HMSDESK will offer the best treatment options in India.
Let’s first understand a bit about the heart and its functioning before moving to a heart transplant.
What is Heart?
The human heart may be a muscular organ that's located a touch left within the mid of the chest. it's a few fists in size and is liable for uninterrupted supply of oxygen and nutrients to varied body parts through the blood. it's a pumping organ with two halves; right and left and 4 chambers (2 atria and a couple of ventricles). The blood from the body is received by the right side of the guts and pumped to the lungs while the left side of the guts receives blood from the lungs and supplies it to the body.
Why is Heart Transplant required?
The heart may be a pumping organ that supplies oxygen and nutrients to varied body organs through blood. A transplant is required in patients whose hearts become unable to pump blood efficiently. A transplant can also be required if the “electrical conduction system” of the guts couldn't work properly. This electrical system is extremely important because it determines the rhythm, rate, and sequence of contraction of the guts muscle.
What conditions require Heart Transplant?
Most of the people affected by coronary failure are candidates for a heart transplant. Heart transplants are indicated when all other treatments for heart problems fail to offer relief to the patient. There is a spread of heart disorders which will cause coronary failure and need a heart transplant, like:
Congenital heart defects (heart problem a baby is born with)
Cardiomyopathy or weakening of the guts muscle
CAD or arteria coronaria disease
Congestive coronary failure
Heart valve disease
Valvular diseases like an infectious disease, or rheumatic heart diseases
Dangerous recurring abnormal heart rhythms (ventricular arrhythmias)
Amyloidosis
Failure of a previous heart transplant
The Procedure
A heart transplant may be a major procedure that's done by a team of expert surgeons and doctors. the guts donors are very less as compared to other organ donors as only a dead person who died due to some accident or was dead and kept alive on machines, can donate a heart. So, the donor heart can come only from a deceased donor who was healthy and disease-free before death. this might take several months to attend for the proper donor who is compatible with the recipient.
Transplant Evaluation Process
Once the patient decides to undergo a heart transplant, various tests are done before transplant to make sure the security of the operation and determine the eligibility of the patient for the transplant. a number of the main tests done are:
Chest X-ray
Computed tomography (CT scan) of the chest
Spirometry
Pulmonary function tests
Coronary artery catheterization
Electrocardiogram
Cardiac assay
Echocardiogram
General metabolic laboratory tests
Coagulation studies
Complete blood count
Bone mineral density test
Colonoscopy
Pap smear and mammogram (women) etc.
After these tests confirm the eligibility status of the patient, the next step is to gauge both patient and donor for compatibility. this needs the following tests:
Blood Type Testing
Tissue Typing
Crossmatch
Serology
These tests are required to match a donor heart to the recipient and transplant is planned only after confirming the match.
Transplant Surgery
The heart transplant may be a complicated procedure that's done under general anesthesia and should take 4 to 10 hours. The transplant procedure consists of three operations.
Harvesting the guts from the donor: the primary operation is completed upon the donor to reap the guts safely. because the donor is typically a dead person, his other organs work well and maybe transplanted to other persons. Once such a dead donor is identified, a transplant team operates upon the donor to get rid of donated organs. These organs are either transplanted simultaneously or are transported on ice and in some solution in order that they will be kept working until transplantation. The period of time for the donated heart to be kept working is a smaller amount than 6 hours.
Removal of the damaged heart from the recipient: The second surgery involves the removal of the damaged heart from the body of the recipient. The patient is placed on a pump which helps in supplying the vital oxygen and nutrients from the blood to the body organs. The damaged heart is removed except the rear walls of the atria.
Implantation of the donor's heart: Once the damaged heart is removed, the backs of the atria on the donor's heart are opened and implanted into the recipient. the massive blood vessels entering and leaving the guts are connected.
Within no time, the guts warm-up and begin beating. Before removing the patient from the pump, the surgeon checks all the connected blood vessels and heart chambers for leakage or the other abnormality.
Post-transplant care
The patient is kept on a breathing device for a minimum of 6 to eight hours after transplant
There will be a catheter within the bladder of the recipient for a few days
The patient is given IV feeding for a few days
The patient can move around within a couple of days after surgery
If everything goes well, the recipient can head home in about one week after the surgery
The patient is required to undergo a regular biopsy of heart tissue to gauge any chances of organ rejection
Physical and occupational therapists work with the patient to create strength and stamina.
Results of Heart Transplant
A successful heart transplant increases the survival of the patient. The patients of coronary failure cannot live longer, but after the heart transplant, the survival rate increases with a mean five-year survival of about 50%-60% and one-year survival of about 85%-90%. the primary year is crucial as surgical complications, organ rejection or infection may occur. that's why the patient is suggested to require various medications as prescribed to stop rejection of the donor's heart. Also, regular checkup with the doctor is a must to gauge the guts functioning and stay healthy.
Benefits of Heart Transplant
Improved heart function and blood flow
Increased chances of survival and adds years to the lifetime of the sufferer
Heart transplant recipients lead active and productive lives
Very less or no limitations on physical activity
Improved quality of life of the person
Allows activities like cycling, swimming, running, and other sports
About 85% of heart transplant recipients return to figure or other activities they previously enjoyed. Hard-pressed for donors, India battles a situation daily at its top hospitals when it involves heart transplant cases. Nearly 50,000 heart patients require transplant per annum.
Heart Transplant Cost in India
Best Hospitals for Heart Transplant in India
Fortis, Delhi
Apollo Hospital, Delhi
Sir Ganga Ram Hospital, Delhi
Max Healthcare Hospital, Delhi
Blk Super Speciality Hospital, Delhi
Medanta Hospital, Gurgaon
Artemis Hospital, Gurgaon
Kokilaben Dhirubhai Ambani Hospital, Mumbai
Wockhard Hospital, Mumbai
Jaslok Hospital, Mumbai
Lilavati Hospital, Mumbai
Jupiter Hospital, Thane, Maharashtra
Sahyadri Hospital, Pune
MaxCure Hospital, Hyderabad, Telangana
KIMS Hospital, Hyderabad
Continental Hospital, Hyderabad
Narayana Health, Bangalore
Manipal Hospital, Bangalore
Dr. K R Balakrishnan
Dr. Sandeep Attawar
Dr. Ashok Seth
Dr. Indivar Upadhyay
Dr. G. N. Prasad
Dr. Ravi Shankar Shetty K
Dr. Vishal Rastogi
Dr. Anil Bhan
Dr. Thasee Pillay
Dr. Sujay Shad
Dr. Alla Gopala Krishna Gokhale
Dr. Rajneesh Malhotra
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