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Heart Transplant in India

Heart Transplant involves surgical replacement of a diseased coronary. In these cases, surgeons substitute your ailing cardiac organ with a healthy piece. They get it from some generous donor. Clinics take this organ after his/her death. It needs permission from their concerned family members.

This procedure has brought up significant positive results. Its tremendous success rate has made it popular. Governments in various countries are also promoting such procedures. Their agencies have propagated on its merits. Such a contribution amounts to much more than investing bucks in charity.

What is Heart Transplant?

A heart transplant surgery is performed when the heart of a patient is diseased and starts failing to perform its functions. In the surgery, the heart surgeon replaces the heart with a healthy and functioning donor heart. The heart transplant surgery was the last resource for people with a failing heart. The heart transplant surgery option is chosen for a patient when medications and surgery have made the heart functioning.

When Heart Transplant Needed?

A mere post-demise contribution can help continue another person’s life.

Reasons

Doctors consider Heart Transplant when other cardiac treatment attempts cannot deliver. Symptoms often lead to heart failure. Reasons for cardiac arrests include:

  • Coronary artery disease.
  • Cardiac muscle weakness.
  • Disease in the heart valve.
  • A congenital defect in the organ.
  • Recurring abnormal heart rhythms. Doctors cannot control this by other treatments. If left untreated, it becomes life-threatening.
  • The last process may also repeat under certain circumstances.

In children, a heart transplant surgery is mostly needed because of a congenital heart disorder or cardiomyopathy. In adults, the surgery might be needed due to following reasons:

  • 1. Congenital heart defect
  • 2. Weakening of the heart muscle
  • 3. When the heart is not responding to medications or previous surgeries
  • 4. Heart valve disease
  • 5. When the previous heart transplant surgery has failed
Heart Transplant in India
Heart Transplant Cost in India

Symptoms

  • Difficulty in breathing or shortness of breath
  • Swelling in the legs and feet due to oedema
  • Palpitations
  • Fatigue
  • Appetite loss
  • Weight gain due to the oedema
  • Blood-stained cough or phlegm
  • Swelling of the abdomen
  • Increases urination at night
  • Difficulty in concentration
  • Chest pain, in case of a heart attack
  • Inability to exercise

Types Of Heart Transplant Surgery

  • The first type is harvesting the donor heart. Due to an unfortunate incident, the donor becomes brain dead, and if the heart is in a good condition, the medical team comes and harvests the heart and takes it to their hospital.
  • The second type is when the defective heart of the patient is removed, to make the patient ready for the donor heart.
  • The third type is when the donor heart is implanted in the patient in place of the defective, diseased heart.

Diagnosis

  • Blood tests are done to check whether there is an increase or signs of some disease that might be affecting the heart.
  • ECG or echocardiography is done to get an image of the heart in motion.
  • EKG or electrocardiogram is done to check the heart rhythm and rate of the heart and to check if there is an issue with the rhythm or if the heart is skipping a beat.
  • CT scan is an imaging test in which an image can be seen of the heart and the chest.
  • Stress test will be conducted by asking the patient to walk or run on a treadmill. This will help to understand if the heart skips a beat or there is an issue with the rhythm under stress.
  • MRI scan is again done to get a clear image of the heart, to understand the reason why the heart is failing.
  • Coronary angiogram is a diagnostic method in which a catheter is passed through the blood vessels of the arm to the coronary artery and a die is injected to check for heart blockages.

Multi-organ transplant types

Multi-organ transplants can also be of several types. These include:

  • Kidney-heart transplant.
  • Heart—liver transplant.
  • Heart-lung transplant.

Suitability

People with advanced cardiac arrest become suitable candidates for a Heart Transplant. Still, a candidate’s suitability depends on the following considerations:

  • Doctors enquire if the candidate has gone through all other treatments and therapies. They need those for his/her ailed organ.
  • Candidates already passed through a cardiac arrest are eligible for the procedure. His condition needs immediate treatment.
  • The patient may die if not done with a Heart Transplant.
  • That the patient has good medical health but the coronary.
  • H/she is ready to adjust to the alternative lifestyle after the procedure.
  • These include several complicated drug treatments and recurrent testing.

When we were talking about fitness. Thus, it is imperative that disqualification clauses also exist. It revokes:

  • Advanced aged people from the process. Age interferes in their recovery process.
  • Persons having another life-threatening medical condition. H/she may not survive despite having a donor organ.
  • People having an active infection.
  • Recently carcinoma-infected persons.

Heart Transplant is a big ‘no’ for persons unwilling or unable to make necessary changes in their lifestyle after such a transplant. These adjustments help to keep the donor organ functional. You need to part with drinking and/or smoking habits.

Risks associated

It is a major surgery process. It brings about common complications like bleeding, infection, and blood coagulation. Other prominent menaces include:

Rejection by own system

The recipient’s body system often declines to accept the new organ. It is one of the commonest Heart Transplant complications.

Often the recipient’s body's immune system recognizes the donor organ as a foreign object. It thus attacks this and sometimes damages it. Doctors prescribe immunosuppressants to cut down the chances of such occurrences. These drugs prohibit inward rejection.

If your system continues with such denials, a change in medication may prove worthy.

Doctors may decide to conduct frequent heart biopsies after the procedure. It helps them determine the causes of such rejection. Your treatment team does this within the first year post-procedure.

Arteries issues

A heart transplant may thicken and harden your arteries walls. It may lead to an allograft vasculopathy. Such a condition blocks blood circulation through coronary areas. If untreated, you may have heart failure or arrhythmias.

Primary Graft Failure

This occurs within the first few months after a transplant. Primary graft failure is a life-threatening syndrome.

Medicinal side-effects

Sedative drugs may cause coronary issues. This is relevant if you are allergic to these medication types. You may have to take the immunosuppressant for the rest of your life. Continued use can cause serious kidney damages. It may bring about other physiological problems too.

Cancer

Immunosuppressant also leaves chances for cancerous diseases development. These drugs cause cancer to your skin and lips. Also, you may have non-Hodgkin’s lymphoma.

How are organ donors found?

Donors for Heart Transplant procedures are recently deceased people. Your hospital authority takes permission from their relatives and family members. They can only collect if they allow the treatment group to do so.

The treatment team also collects the cardiac organ from brain-dead people. These people are only alive in books. In fact, they are dead. Surgeons usually consider brains from:

  • Victims of car or bike accidents.
  • Gunshot wounded.
  • Severe head injury people in such cases.

People are currently donating their vital organs after death. It benefits our society. But, none can collect any organ without family members’ consent.

Government authorities enlist appended donor organs. Then they put this in different health institutions. These include different hospitals or disease treatment clinics. It is a national system-maintained waiting list. The country government discloses the number of organs available at a time. Thus, people know how many replaceable hearts are in stock right at this moment.

The government also makes sure that accessible organs go to the best potential match. The determinant factors include:

  • Body Size.
  • Blood type.
  • UNOS status; they based its determination on the patient’s overall medical condition.
  • They give serious patients their due priority.
  • The recipients’ waiting period is also vital in such an assessment.

Waiting for a donor

When your clinic declares you a fit candidate for a Heart Transplant, then they will put you on a waiting list. Your waiting could be longer. It involves a lot of processes before setting a heart for you. The donor organ requires matching against your body size and blood type. Your medical condition is also a factor.

The clinical treatment team monitors your heart while you are waiting for the donor. They check other organ functions too. They will make proper adjustments in your treatment too. Your doctor will advise you to consume a healthy diet and stay active.

Preparation

  • Inform the doctor about the past medical history and the medications that are ongoing.
  • Stop medications that the doctor has suggested and take the medications recommended by the doctor.
  • Follow a diet and exercise regime that is suggested and recommended.
  • Avoid smoking and drinking a couple of days before the surgery.
  • Avoid eating and drinking anything orally after the said time, the night before the surgery.
  • Choose a dedicated person who’ll help out after the surgery at the hospital.

Procedure

  • The patient is put under general anaesthesia to put the patient in sleep and avoid feeling any pain and reducing the anxiety of the patient due to the surgery.
  • An incision is made at the breastbone, 8-10 inches long, and the rib cage is then separated with a separator.
  • The heart is then connected to a bypass machine, and the machine will then perform all the functions of the heart for it.
  • After the diseased heart is in view, it is removed and detached from the blood vessels of the heart.
  • The new donor heart is then placed in the chest cavity and the blood vessels are then attached to it.
  • Mostly the heart starts beating as soon as the blood flow resumes, but in some cases, there is a need for an electric shock to be given with the help of a defibrillator.
  • The rib cage is attached by a wire or a metal plate.
  • The incision is sutured up with sutures.

During Procedure

Surgeons conduct this open-heart surgery under general anesthesia. This major procedure takes several hours to complete. An already complex process becomes more complicated if you have previous heart surgeries.

After applying the sedative, your surgeon connects you to a long heart-lung bypass machine. It helps continue the oxygenated blood flow throughout the body.

H/she makes an incision on your chest. Then h/she separates your chest bone and opens the rib cage. It enables operating on the cardiac organ.

Your surgeon removes the diseased organ then. H/she puts the donors into place. Then h/she will connect it with major blood vessels. Once attached, it starts beating. Your bloodstream starts flowing through the system.

Your doctor will offer medication to control pain. You will get a ventilator that would ease the breathing process. The treatment team attaches tubes to your heart. These help drain fluid from there and the lungs.

You will get fluids and medication through intravenous tubes following the process.

After Procedure

  • Immediately after the procedure, the patient is shifted to the ICU, where the patient’s vitals are monitored and the progress and working of the donor heart is monitored. Pain medications will be given to the patient intravenously.
  • After a few hours in the ICU, the patient is shifted to their personal room, and there is need to stay in the hospital for a week or two.
  • After the discharge, the patient is supposed to make visits to the transplant clinic, to check the condition of the heart and in case there are any symptoms that have returned.
  • In the first three months after the transplant surgery, several heart biopsies will be done to check if the body is accepting or rejecting the heart.
  • The patient will be enrolled in a cardiac rehabilitation programme to help with exercising and other issues.

Your treatment team will transfer you to the Intensive Care Unit. They do it after a Heart Transplant process. They will keep watching for surgery complications. These include bleeding or infection at the surgery spot. You will be under strict monitoring there for a few days. Then they will shift you to a general bed.

Hospital stays for these patients do not exceed two weeks. However, there are exceptional cases always.

Your doctor will ask you to visit the clinic. Its frequency is high during the first year after the transplant. Your transplant team members will monitor your physical status during these visits. These include:

  • Rejection signs and symptoms.
  • Breathing issues.
  • Breathe shortness.
  • Fever.
  • Fatigue.
  • Urination issues.
  • Urination congruency with weight gain.

Dipped-in visits continue for the first three months. Then, the frequency lessens. Within one year, they will declare you fit.

  • Stay prepared to continue with several long-term lifestyle and behavioral adjustments. These are integral to a Heart Transplant procedure.
  • Be ready to continue with the immunosuppressant for the rest of your life.
  • Manage medications and therapies as suggested.
  • Adopt a lifelong care plan. It includes setting a daily routine for medications. You may need to incorporate health-upkeep exercises into your daily routine.
  • Educate yourself with the health–nurturing and recovery lessons. These will help you to stay fit.
Heart Transplants Preparation
heart transplant recovery

Recovery

  • Initial recovery takes at least 6-8 weeks and for full recovery, it takes two to three months post-surgery.
  • The patient will be able to go back to work after 6 to 8 weeks but is advised that strenuous activities be avoided.

Risks

  • Bleeding during or after the surgery
  • Infection at the site of the infection
  • Heart attack or stroke due to formation of blood clots
  • Difficulty in breathing
  • Failure of the donor heart
  • Kidney failure
  • Death
Heart Transplant Risks
Heart Transplant Causes

Heart Transplant Cost in India

  • One can easily find low-cost Heart Transplant in India as compared to other western countries.
  • Along with quality services and satisfaction for Heart Transplant at affordable prices, most international patients prefer India.
  • The Heart Transplant costs range from $25,000 to $40,000. It depends upon the complexity of the treatment and services facilities from the hospital.

Get details of the Heart Transplant hospitals in India that offer higher success rates at affordable cost. The cost of Heart Transplant varies widely. For Heart Transplant, it is necessary to choose the proper specialist in India. HMSDESK helps patients seeking medical care and specialty treatments from the Best Transplant Surgeon in India. Various hospitals and clinics in India have gained massive popularity all over the world. International patients preferred places for the surgery or treatment would be tier one, in developed cities like Bangalore, Chennai, Hyderabad, Kolkata, Mumbai, Delhi, Mangalore, Kochi, Jaipur, and Pune.

Frequently Asked Questions about Heart Transplant

What are the symptoms of heart failure?

  • Difficulty in breathing or shortness of breath
  • Swelling in the legs and feet due to oedema
  • Palpitations
  • Fatigue
  • Appetite loss
  • Weight gain due to the oedema
  • Blood-stained cough or phlegm
  • Swelling of the abdomen
  • Increases urination at night
  • Difficulty in concentration
  • Chest pain, in case of a heart attack
  • Inability to exercise

Why is a heart transplant surgery needed?

In children, a heart transplant surgery is mostly needed because of a congenital heart disorder or cardiomyopathy. In adults, the surgery might be needed due to following reasons:

  • 1. Congenital heart defect
  • 2. Weakening of the heart muscle
  • 3. When the heart is not responding to medications or previous surgeries
  • 4. Heart valve disease
  • 5. When the previous heart transplant surgery has failed

What are the diagnostic tests needed for a heart transplant surgery?

  • Blood tests are done to check whether there is an increase or signs of some disease that might be affecting the heart.
  • ECG or echocardiography is done to get an image of the heart in motion.
  • EKG or electrocardiogram is done to check the heart rhythm and rate of the heart and to check if there is an issue with the rhythm or if the heart is skipping a beat.
  • CT scan is an imaging test in which an image can be seen of the heart and the chest.
  • Stress test will be conducted by asking the patient to walk or run on a treadmill. This will help to understand if the heart skips a beat or there is an issue with the rhythm under stress.
  • MRI scan is again done to get a clear image of the heart, to understand the reason why the heart is failing.
  • Coronary angiogram is a diagnostic method in which a catheter is passed through the blood vessels of the arm to the coronary artery and a die is injected to check for heart blockages.

How is the waiting list made?

Donor's hearts go to the weakest patients requiring heart transplantation. The normal morale of fixing the waiting is that the patient with urgent need will get the heart depending on the match.

What is the normal waiting period for a donor's heart?

Your lingering limit for a suitable donor heart can extend to several months. To make any prediction over this seems impossible, Ventricular Assist Devices are thus provided to safeguard the patients from unexpected odds.

How a donor heart is matched with the recipient?

Patients waiting for heart transplantation in India are placed on a waiting list. The government has entrusted the responsibility of maintaining the list over a network of NPOs. These organizations match the donor and the patient heart by matching the body weight, blood type, size of the heart, and overall health of the patient.

Is a heart transplantation process can cure heart failure?

Certainly; the heart transplantation process is applied for those hearts that have gone through all possible medical treatments without a result. The process is called the ultimate option to save death.

What are the normal Ventricular Assist Devices?

The Heartmate and Heartware are the two popular VADs. These devices can be implemented without opening the entire chest. The application of the method in open-chest has the risk of shortened recovery. The devices help while conducting the main process too.

Why consider India for Heart Transplant?

India is promising as one of the favorite destinations for Heart tourism in the world due to its affordability, accessibility, and much cheaper rates.

For Surgery Some Countries From Which Patients Travel To India:

Best Cardiac Hospital in India

Hospitals in India offer State-of-the-art equipment and the latest technologies.

  • Fortis Hospital
  • Blk Super Speciality Hospital
  • Saifee Hospital
  • Jaslok Hospital
  • Global Hospital
  • Medanta Medicity Hospital
  • HCG Hospital
  • SIMS Hospital, Chennai
  • MIOT Hospital, Chennai
  • Artemis Hospital
  • Wockhardt Hospitals
  • Max Super Speciality Hospital
  • Bgs Gleneagles Global Hospital
  • Nanavati Super Speciality Hospital
  • Manipal Hospital
  • Apollo Hospital
  • S L Raheja Fortis Hospital
  • Asian Heart Hospital
  • Hiranandani Hospital
  • Apollo Hospitals
  • Narayana Hrudyalaya
  • Sakra World Hospital
  • BLK Super Speciality Hospital
  • Yashoda Cancer Institute, Hyderabad

Best Cardiac Hospital in India

  • Dr. Pavan Kumar
  • Dr. Smruti Ranjan Mohanty
  • Dr. Pavan Kumar
  • Dr. Sandeep Honnekeri
  • Dr Surendra Nath Khanna
  • Dr. Shantesh Kaushiki
  • Dr. Anand Somaya
  • Dr. Ravi Bhatnagar
  • Dr. Sanjeev Y Vichare
  • Dr. Sandeep Honnekeri
  • Dr. Anil Tendolkar
  • r. Sanjeev Y Vichare
  • Dr. Shantesh Kaushik
  • Dr. Anand Somaya
  • Dr. Ravi Bhatnagar
  • Dr Bhupesh D Shah
  • Dr.K.M. Cherianr
  • Dr Baldev Singh Sekhon
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