Forerunners Health Group providing Heart transplant surgery in India has been a pioneer in this field of medical tourism. Indian hospitals are equipped to handle all phases of cardiac problems from the elementary to the latest clinical procedures like interventional cardiac catherisation and surgical cardiac transplants. The commitment of its cardiologists and cardio thoracic surgeons to the prevention and treatment of heart disease has led to the achievement of better outcomes and improved quality of life for thousands of cardiac patients. Heart transplant surgery in India ensures that patient’s experience is safe and comfortable, with the highest standards of both medical and non-medical services.
What is Heart Transplant?
Heart transplant is a surgery to remove a person's diseased heart and replace it with a healthy heart from a deceased donor. Ninety percent of heart transplants are done on patients who have end-stage heart failure. Heart failure is a condition in which the heart is damaged or weakened and can't pump enough blood to meet the body's needs. Heart transplantation, has evolved into the treatment of choice for many people with severe heart failure (HF) who have symptoms despite maximum medical therapy. Survival among cardiac transplant recipients has improved as a result of improvements in treatments that suppress the immune system and prevent infection.
Indications for Heart Transplant
The general indications for heart transplant include deteriorating cardiac function and having a prognosis of less than 1 year to live.
• Dilated cardiomyopathy
• Ischemic cardiomyopathy
• Congenital heart disease for which no conventional therapy exists or that conventional therapy has failed
• Ejection fraction less than 20%
• Intractable angina or malignant cardiac arrhythmias for which conventional therapy has been exhausted
• Pulmonary vascular resistance of less than 2 Wood units
• Age younger than 65 years
• Ability to comply with medical follow-up care
Procedure for Heart Transplant
Just before the Heart transplant surgery, patients will get general anesthesia. The term "anesthesia" refers to a loss of feeling and awareness. General anesthesia temporarily puts you to sleep. A bypass machine is hooked up to the arteries and veins of the heart. The machine pumps blood through the patient's lungs and body while the diseased heart is removed and the donor heart is sewn into place. Heart transplant surgery usually takes about 4 hours. Patients often spend the first days after surgery in the intensive care unit of the hospital.
Signs of rejection post Heart Transplant surgery
The new heart is a “foreign body” that your immune system may attack if you're not getting enough medicine to suppress your immune system after the Heart transplant surgery. You and the transplant team will work together to protect the new heart by watching for signs of rejection. These signs include:
• Shortness of breath
• Fatigue (tiredness)
• Weight gain (retaining fluid in the body)
• Reduced amounts of urine (problems in the kidneys can cause this)
You and the team also will work together to manage the transplant medicines and their side effects, prevent infections, and continue treatment of ongoing medical conditions. You may be asked to check your temperature, blood pressure, and pulse when you go home.
Follow-up post Heart Transplant surgery
After Heart transplant surgery, endomyocardial biopsies are performed to assess for allograft rejection. These may be performed as frequently as every week for the first month, with the frequency decreasing over time. Follow-up visits are frequent for the first month because regulation of immunosuppression is being adjusted during this time. The frequency of visits gradually diminishes until the patient is generally seen on an annual basis. Certain centers perform coronary angiography annually after transplantation to monitor the patient for the