Contact Info

Transplant Services

Heart Transplant

How severe is the threat of Heart Failure in Indian Population?

  • Based on research, it is estimated that the prevalence of heart failure in India ranges from 1.3 to 4.6 million.
  • This includes major conditions such as Coronary Heart disease, Hypertension, Obesity, Diabetes and Rheumatic Heart Disease (RHD) (With an annual incidence of 491 600–1.8 million).
  • The double burden of rising cardiovascular risk factors and persistent ‘pre-transition’ diseases such as rheumatic heart disease, limited healthcare infrastructure and social disparities contribute to these estimates.

What is Heart Transplant?

The Surgical procedure through which, the existing diseased/failed heart is replaced with a new healthy heart is known as Heart Transplant. It is usually done when a patient is suffering from End-Stage Heart Failure & can no longer survive with the help of the existing heart.

Who needs a Heart transplant?

Heart Transplant is usually advised in the cases where heart failure has occurred & medication or any other treatment is not improving the condition of the patient.

Conditions that can lead to heart failure, eventually needing Heart Transplant:

  • Coronary Heart disease – blocking of the coronary arteries that affects easy blood flow.
  • Cardiomyopathy – affecting the walls of the heart.
  • Congenital heart disease – birth defects that affect the normal functioning of the heart
  • The most advanced & state-of-the-art heart transplantation surgical technique.
  • Use of percutaneous, transvenous heart biopsy to detect rejection
  • Use of new drugs and methods, to treat rejection.
  • One of the most successful heart and lung transplant program in India.
  • Team led by highly experienced & Senior Transplant Surgeon with over 20 years of experience.

1. Transplant Evaluation - The first step in the transplant process is evaluation. During this process, you will meet the transplant team which includes the transplant surgeon, cardiologist, psychiatrist, transplant nurse, nutritionist, social worker, financial coordinator, physical therapist, and counsellor. The first step in the transplant process is evaluation. During this process, you will meet the transplant team which includes the transplant surgeon, cardiologist, psychiatrist, transplant nurse, nutritionist, social worker, financial coordinator, physical therapist, and counsellor.

You may need to come in more than once to be evaluated by different specialists. Our team will guide you through the transplantation process while empowering you to decide if transplantation is the best way forward for you.

2. After Transplant Surgery - After the surgery, you will typically spend 5 to 7 days in the cardiac intensive care unit and about 5 to 7 days on the transplant observation rooms. You will be constantly monitored to ensure that your new heart is functioning well and that there are no complications from the surgical procedure. You also will begin taking special medications to help prevent your body from rejecting your new heart.

Heart transplant recipients must take many different medications, each prescribed for a specific therapeutic reason. They fall into four categories:

  • Immunosuppressants: Drugs and agents that shut down the body's natural immune responses that would damage your new heart.
  • Antibiotics, antivirals, and fungicides: Drugs that fend off infection while your natural immune responses are disabled.
  • Vitamins, minerals, and nutritional supplements: Compounds to aid your body in its efforts to heal and maintain proper functioning.
  • Coronary disease prevention and antihypertensive medications: Drugs to prevent coronary artery disease and regulate blood pressure.
  • Valvular Insufficiency (Leaking or Regurgitation)
  • Valvular Stenosis (Blocked or Narrowed Valves)
  • Left Ventricular Aneurysm (Stretched Heart Muscle)
  • Thoracic Aortic Aneurysm (Stretched Aorta in Chest)
  • Thoracic aortic aneurysm
  • Aortic Dissection (Bleeding in the Aorta Walls)
  • Aorta Transaction
  • Lung Cancer
  • Mediastinal Tumours
  • Tracheobronchial Cancer
  • Tracheal Stenosis

How long will it take for me to get a heart transplant?

Unfortunately, there is no way to predict how long you will have to wait for a donor heart. The wait time is dependent on several factors including the urgency for transplantation, the size of the heart, blood type, tissue type and how long you have been on the waiting list. The time may vary from several days to months or, in some cases, years. Focus on staying healthy during the waiting period.

What happens if my condition gets worse while I wait for a donor heart?

Members of the transplant team will evaluate you regularly and adjust medical treatment as necessary. Sometimes patients may need hospitalisation to support them during the waiting period. Occasionally we might recommend other procedures, or mechanical circulatory support devices are necessary. Our team will ensure you have the appropriate care for your needs.

How long will I be in the hospital after my transplant surgery?

After the surgery, you will typically spend 5 to 7 days in the cardiac ICU and about 5 to 7 days on the transplant observation rooms. During this time, you will be constantly monitored to ensure that your new heart is functioning well and that there are no complications from the surgical procedure. You also will begin taking special medications to help prevent your body from rejecting your new heart.

Before you are discharged, you and your family will receive education and instructions about how to manage your medications, take care of your surgical incision, and schedule follow-up visits in our outpatient clinic.

What kind of medications will you prescribe?

Heart transplant recipients must take many different medications, each prescribed for a specific therapeutic reason. They fall into four categories:

Immunosuppressants: Drugs and agents that shut down the body's natural immune responses that would damage your new heart.

Antibiotics, antivirals, and fungicides: Drugs that fend off infection while your natural immune responses are disabled.

Vitamins, minerals, and nutritional supplements: Compounds to aid your body in its efforts to heal and maintain proper functioning.

Coronary disease prevention and antihypertensive medications: Drugs to prevent coronary artery disease and regulate blood pressure.

What are the post-discharge procedures?

After your hospital discharge, the post-transplant team will closely monitor you on an outpatient basis. This will include regular tests on your new heart, including blood tests, ECGs, heart biopsies, and clinic visits with the cardiologist. The transplant team will communicate with your cardiologist and primary care physician to provide seamless, coordinated care.

How soon can I return to work?

The appropriate time for you to return to work will depend on at least two factors: how you are feeling after surgery, and what type of work you will be doing. As soon as your incision is healed, and you are feeling well, you can discuss with your transplant cardiologist when to return to work. Some patients can return to work quickly. We encourage patients to resume working as soon as they feel ready and the transplant cardiologist considers the decision medically safe. Typically, most recipients can return to work within 6 months following surgery.

We treat the following Cardiovascular diseases:

  • Angina
  • Atherosclerosis
  • Coronary Artery Disease
  • Heart Attack
  • Stroke
  • High Blood Pressure
  • Congestive Heart Failure
  • Atrial Fibrillation
  • Varicose Veins