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Cardiology

Heart Transplant

What is a heart transplant?

Heart transplantation is a surgical procedure which undertakes to replace a diseased or non-functioning heart with a healthy one. The surgeon dismiss the heart of patients by making a transaction in the aorta, the main pulmonary artery and the preferable as well as inferior vena cavae, and then cross the left atrium. This leaves the back wall of the left atrium that has the pulmonary vein openings in place. After this, the donor’s heart is associated by sewing together the recipient and donor vena cavae, aorta, pulmonary artery and left atrium.

The donor for heart transplant is someone who is either brain dead or on ventilation. After dismiss the healthy heart from such a patient it is dipped in a solution before the transplant takes place.

Indications

This procedure can be recommended in the following cases:

Severe heart disease since birth

Cardiomyopathy

Coronary artery disease

Heart valve disease with congestive heart failure

Life-threatening abnormal heart beats (when other therapies fail)

Aortic disease

Coronary artery disease

Heart disease symptoms including angina, shortness of breath and palpitations.

Vascular disease

Congestive heart failure

Atrial fibrillation and flutter

Hypercholesterolemia and risk factor modification

Myocardial Infarction

Mitral valve prolapsed

Patients for whom this surgery is not recommended:

Kidney / lung/ liver disease

Insulin-dependent diabetes with poor function of other organs

Blood vessel disease of the neck and leg

Other life-threatening diseases

Who needs a heart transplant?

There is a very accurate selection of the patients who demand this method. More patients demand a transplant as their hearts can no longer pump enough to supply blood with oxygen and nutrients to the other organs. While the others have a good heart pump, but a bad “electrical influence system” that complete the rate, rhythm and sequence of decrease of the heart muscle. This might become a sense of different problems.

Many people with “end-stage” heart disease where the heart is not functioning properly, but the other essential organs should be in good shape. But if the patient is adversity from infection, cancer, bad diabetes mellitus, or smoke/alcohol abuse, they cannot undergo the surgery.

It is required that the patients should training psychological testing that whether they can good in conformity with medications, changes in lifestyle and improvement after the surgery. Even the donor should also be well-matched with the blood category and body size of the patient.

Process of heart transplant in India

The heart that is conserve in a solution is transplanted when the patient is in buried sleep or under anesthesia. The cut is made in the breastbone and the heart-lung bypass apparatus is used for the operation. This apparatus supports the quantity of blood over the entire body and brain while the operation method is being managed. The transplanted new heart later improve the smooth flow of blood within the patient’s body. The hospitals are outstanding for cost-effective Cardio surgeries having specialized surgeons. The department also trained in treating other heart ailments like cardiac capture and heart attacks where cardiac responsibility and therapies are also done to assist the patients.

How does it affect the heart?

The heart of the donor heart is matched to the resistant system of the beneficiary. The patient has to take proper medication (immunosuppressive medication) for avert the resistant system from rejecting the new heart. The risk of side effects, such as infection or cancer is also avoided.

Medical Follow-up

A patient of heart transplant needs regular appeal after the surgery to analysis overall health. At the time of appointment, the doctor undertakes some blood tests for checking the level of the immunosuppressive drugs and other side effects. He also examine doing electrocardiogram, echocardiogram and Holter monitoring for monitoring the heart’s rhythm and function, or an endomyocardial biopsy for surveying the sufficiency of the therapy. The doctor also appraise patient’s coronary arteries annually, for monitoring any signs of narrow coronary arteries in the heart that has been transplanted.

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