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heart-transplant

Heart Transplant Surgery

Heart transplant is a surgery involves removing the heart, which is diseased from the patient and replacing it with a heart, which is healthy. For the donor to be eligible to donate the heart, at least two or more doctors have to declare that the donor is brain-dead. The doctors have to determine and recommend that the heart transplant is the suitable treatment for the patient, suffering from the heart failure and then the patient is put on the waiting list to seek for the suitable donor.

Heart

The heart is located in the center of the chest and hardest working muscle in the body of a human. It sizes about a fist in an adult human body. A heart beats with a rate of 80 times a minute and 115,000 times in a day. The heart pumps the blood of 1 million barrels in an average lifetime of a human being. The human takes rest, but the heart does not.

The cardiovascular system consists of the heart and associated blood vessels. It circulates the blood in the entire body in order to supply the nutrients and oxygen to the tissues. A heart is made with four chambers consisting two atria, which receive the blood and two ventricles to pump out the blood. It contains the blood vessels, composed in an arteries and vein network to carry the blood. The system consists of four valves that help preventing the blood to flow to backward. An electrical system helps to stimulate the heart muscle for contraction.

Need of the Surgery

Heart replacement surgery is necessary to be performed to replace a heart that is failing through congestive heart failure or CHF.

The disease of end-stage heart failure leaves the heart to fail to pump the blood in the body. It is a final stage of the heart failure. When all the other treatments are helpless, the transplantation is finally chosen. Technically, heart failure is termed as CHF. Here failure means, the heart is not able to pump the blood in a normal manner, but not completely stopped working.

Some of the causes for CHF are

Before the Procedure

The patient is needed to be evaluated for the wide range of information. This important information is useful to find and match the eligibility of the donors. The evaluation process is done by a team of transplant. The team consists of a surgeon, a transplant cardiologist, transplant nurses, social worker and psychiatrist. The process of evaluation is done with blood tests, diagnostic tests, other preparations and psychological & social evaluation.

After the donor is found, the patients need to prepare for the surgery. He or she has to sign over the consent for the surgery after clearing the questions and doubts about the surgery.

Heart Transplant Surgery in Delhi, India at Best Heart Hospital

The patient has to remove jewelry, accessories and clothing and then wear the gown. IV or intravenous line is given in the arm to inject the medication and other fluids. Catheters are inserted in the neck and wrist that help monitoring the blood pressure, heart states and to collect the blood samples. Other catheters are also used in the suclavian areas and then in the bladder for draining out the urine. The excessive hair on the heart is clipped off. The patient is given general anesthesia to begin the surgery. A tube is attempting to insert into the lungs through the mouth and then attached to a ventilator for breathing. The heart rate, oxygen levels of blood, blood pressure are constantly monitored by the anesthesiologist during the surgery.

After cleansing the skin with the antiseptic solution, an incision is made in the chest above the navel and below the Adam’s apple. Breast bone is divided in half to separate the bone and spread to expose the heart. Tubes are inserted to pump the blood by a cardiopulmonary bypass machine. After blood is diverted through this machine to pump, the diseased heart is removed. A healthy donor heart is then sewn. Then blood vessels are connected to resume the heart after disconnecting the machine. Then the bones are rejoined and sewn, also the skin. Bandage is then applied.

Risks of the Procedure

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