Heart transplant (Part 1)

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Heart transplant is a surgical procedure that involves replacing a damaged or diseased heart with a healthy heart from a deceased donor. The procedure is typically reserved for patients with end-stage heart failure who have exhausted all other treatment options.

Process :

Heart transplant surgery typically involves the following steps:

  1. Anesthesia: The patient is put under general anesthesia, which means they are unconscious and pain-free during the surgery.

  2. Incision: The surgeon makes an incision in the chest to access the heart.

  3. Heart-lung bypass machine: The patient is connected to a heart-lung bypass machine, which takes over the function of the heart and lungs during the surgery.

  4. Removal of the diseased heart: The surgeon removes the patient's diseased heart and any damaged tissue.

  5. Implantation of the donor heart: The surgeon implants the donor heart and connects it to the patient's blood vessels.

  6. Closing the incision: The surgeon closes the incision in the chest and the patient is taken off the heart-lung bypass machine.

  7. Recovery: The patient is closely monitored in the ICU for several days or weeks to ensure that the new heart is functioning properly. They may need to stay in the hospital for several weeks or months to recover and undergo rehabilitation.

Test before procedure:

Before undergoing heart transplant surgery, the patient will undergo a series of tests to determine their eligibility for the procedure. These tests may include

  1. Medical history and physical exam: The patient's medical history and current health status will be evaluated, and a physical exam will be performed.

  2. Blood tests: Blood tests will be done to evaluate the patient's blood type, check for infections, and assess kidney and liver function.

  3. Imaging tests: Imaging tests such as an echocardiogram, electrocardiogram, and chest X-ray will be done to evaluate the condition of the patient's heart and lungs.

  4. Cardiac catheterization: This procedure involves inserting a catheter into the heart to measure blood flow and pressure.

  5. Pulmonary function tests: These tests evaluate lung function to determine if the patient is able to tolerate the surgery and recover properly.

  6. Psychological evaluation: The patient will undergo a psychological evaluation to assess their ability to cope with the stress of the surgery and the recovery process.

Dr. Aritra Konar is a Consultant Interventional Cardiologist in Kolkata at Apollo Gleneagles Hospital, Kolkata. He has been deemed one of the best cardiologists in Kolkata for his expertise lies in Coronary (femoral & radial routes) angiography, Coronary angioplasty (including primary angioplasty), Peripheral angiography and angioplasty, Permanent pacemaker, ICD, CRT implantation, BMV, BPV, Right heart catheterization and so on, in procedural skills. His guidance is trusted and so are his skills.

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