A deteriorating heart is substituted by a healthier donated heart during a heart transplant procedure to save the life of the diseased patient. People who need a heart transplant are typically those whose heart conditions haven't progressed enough with medication or other procedures. Even though a heart transplantation is a big procedure, the chances of survival are strong with the right aftercare and proper surgical management.
Everyone is a little apprehensive about surgery whenever it is mentioned, especially when it involves the heart. Renowned heart surgeon, Dr. Sujay Shad, has extensive knowledge about heart transplant and open heart surgery in Delhi and procedures concerned with heart failure, and in this blog he has shared more information related to heart failure and transplant treatment.
Why is heart transplant surgery performed?
When other methods of treating cardiac issues have failed and heart failure has occurred, heart transplants are done to save the patient's life.
People may Suffer From Heart Failure Due to:
A deterioration of the heart's muscle (cardiomyopathy)
Cardiovascular disease
Heart valve dysfunction
An inherited heart condition (congenital heart defect)
Ventricular arrhythmias that are dangerously recurrent and are not under control with conventional therapies
A prior heart transplant that failed.
Congenital heart defects or cardiomyopathy are the two main causes of heart failure in children. In certain cases, patients with specific diseases may undergo a heart transplant along with another organ transplant (multiorgan transplant).
Kidney and heart: Some patients with both kidney and heart failure may be candidates for this surgery.
Liver and heart: For those with specific liver and cardiovascular issues, this treatment might be an option.
Lung and heart: Rarely, if a heart transplantation or lung transplant alone cannot cure a patient's serious lung and heart issues, a specialist may recommend this operation.
How is the Surgery done?
Wait for the donor heart:
One will be added to a waiting list by the transplant center, it is determined that one is an excellent contender for a heart transplant. As there are more patients in need of hearts than there are donors, the wait may be lengthy. The doctors may advise having a Ventricular Assist Device (VAD) inserted to maintain the heart whilst patients wait for a donor organ if medical therapy is unable to support the vital organs.
Just before the procedure:
The donor organ must be used for a heart transplant within 4 hours of the organ's removal. As a result, hospitals within a specified interval of the donation hospital are provided hearts first, followed by a center nearby. The medical team will perform a final evaluation once one gets to the hospital to determine whether the donor heart is a good match for the patient.
During the procedure:
Open-heart surgery for heart transplants lasts for several hours. If one has had previous cardiac operations, the procedure will be more difficult and take longer. To maintain oxygen-rich blood moving throughout the body, patients are attached to a heart bypass machine. The chest will be cut open. The surgeon splits the chest bone and cracks apart the rib cage. The damaged heart is subsequently removed, who then stitches the donated heart into position. The main blood vessels are then joined unto the donor heart.
After the procedure:
One's health will be checked for any indications of resistance, such as weight gain, feeling short of breath, fever, exhaustion, and decreased urination. One will undergo repeated cardiac biopsies in the initial few months following transplantation, while rejection is most likely to take place, to ascertain whether the body is resisting the new heart. Over time, fewer biopsies are required on a regular basis.
If one is feeling any discomfort that can lead to heart problems or heart failure, one can book an appointment at Sir Ganga Ram Hospital, best heart hospital in India to get examined and treated by the best bypass surgeon in Delhi, Dr. Sujay Shad.
Risks-
Every surgery is associated with some kind of risk. Hence It is important to underwent the surgery from an expert for best outcomes and obtain lower risks after surgery:
Rejection of the transplanted heart: The body discarding the donor heart is one of the most concerning dangers following a heart transplant. The immune system can attempt to reject the donor heart if it perceives it as a foreign entity, which could harm the organ. Immunosuppressants are given to every heart transplant patient.
Primary graft failure: The donor heart is not functional in this condition, which is the most common reason for death in the initial months following transplant.
Issues with one’s arteries: It's possible that following the transplant, the artery walls in the heart may thicken and stiffen. As a result, the heart may have trouble pumping blood through it, which may result in a cardiac arrest, heart failure, myocardial infarctions, or sudden death.
Side effect of medicines: One will need to take immunosuppressants for the rest of their life, and they can severely damage the kidneys, among other things.
Infection: Immunosuppressive medications make it harder for one to fight infections. In the first year after the surgery.
Cancer: Its risk can also be increased by immunosuppressants. These drugs can increase the risk of developing several cancers, including Hodgkin's and skin cancer.
To know more about heart issues and life saving heart transplant surgery, book a visit now with Dr. Sujay Shad, best heart doctor in India at Sir Ganga Ram Hospital.
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