Heart Transplant
India is now making history in Heart Transplant Treatments; Heart Surgeries in India is very much affordable. Because of awareness to organ donation in India, treatments for heart failure and heart transplants are increasing across the country. A heart transplant is a surgical process to treat the heart failure which leads to their end stage. End stage is the condition where the heart cannot pump enough blood to whole body then heart transplant is needed. The first heart transplant was performed on Louis Washkansky on December 3, 1967 at Groote schur Hospitals, Cape Town. The patient own heart is replaced is replaced by the other heart (brain death person). The transplant should perform minimum 2 hours from the brain death. Artificial heart transplant also can be done but it has very less successful rates. Hence patients prefer transplant from the cadaver/brain death persons.
Heterotopic Procedure:
In this procedure the recipient heart (patient) will not be removed. Instead the new heart will be kept to the chambers and the vessels of both the hearts. this is done to recover the patient original heart to function normally if the donor heart rejects the body then the donor heart can be removed later once the original heart starts functioning . This type of procedures can be used only the donor heart is week or not strong.
Orthotopic Procedure:
It is the process starts at the mediastinum, where the pericardium is opened and the vessels are dissected carefully and attached to the cardiopulmonary bypass (heart lung machine). Then the donor heart is injected with potassium chloride where the heart beating will stop. The donor heart is dissected at the atrium vessels and other great vessels are carefully dissected and trimmed according to the patient is weaned from the heart lung machine and the chest cavity is closed.
Post Operative:
The patient is shifted to the ICU soon after the transplant is done. After a day the patient is done. After a day the patient is moved to the general recovery ward if there is no complication or changes seen in the patient. It takes 1 to 2 weeks to recover and medications should be followed to accept the new heart. The heart beat will not be normal until the new nerve regrowth since during a surgery the vagus nerve is served. The heart beat will be 100 beats per minutes. Care is needed and regular monitoring occurs by the medical staffs to detect the rejection.