Management Team

Heart Transplant

Overview

A heart transplant is performed in cases of heart failure. The surgery can be performed in both adults and children in cases of congenital heart defects and cardiomyopathy (weak heart muscles). Other reasons for heart transplant include heart valve disease, coronary artery disease, and failed prior heart transplant. The Department of Heart Transplant houses a team of highly qualified and specialised surgeons, doctors, nurses, and support staff who utilise our advanced imaging and surgical technology to provide best in line patient-centric care.

Location: Level 1, Heritage Building

Timings: 11:00 am to 01:00 pm

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Multiorgan transplants

Heart-kidney transplant: This is for people with a failing heart as well as kidneys

Heart-liver transplant: This is for people who have certain liver conditions as well as heart conditions

Heart-lung transplant (rarely performed): This is performed when someone has severe lung and heart diseases untreatable with either a heart or lung transplant alone

Waiting for a donor heart:

  • If the medical team at the transplant centre decides that you are a suitable candidate for a heart transplant, you will be placed on a waiting list for a donor heart. The waiting period is typically long, because the number of people requiring heart transplant is than the available donor hearts. Your size, blood type, and comorbidities are some factors that are used to help match you to a suitable donor.
  • During the waiting period, your medical team will regularly evaluate your heart and other organs. If needed, they may adjust your treatment. Your medical team will also help you understand how to take care of your heart by eating a healthy diet and staying active.
  • A bridge treatment, such as a VAD implant, may be recommended if medical therapy is unable to support your vital organs while you are waiting for a donor heart.

Ventricular assist device

A ventricular assist device (VADs) is an option for someone who cannot have a heart transplant.

  • A VAD is a mechanical pump or artificial heart pump that is implanted in the chest. It helps the heart to pump blood to the rest of the body from the ventricles, which are the lower chambers of the heart.
  • VADs are frequently used for people who are on the waitlist for heart transplants. They are a temporary treatment, and are sometimes referred to as bridges to heart transplantation because they help you obtain some additional time until a donor heart becomes available.
  • But, VADs are also being as a long-term treatment option for people are not eligible for heart transplants.
  • If a VAD does not help your heart, doctors may sometimes consider a total artificial heart — a device that replaces the ventricles of your heart — as an alternative short-term treatment while you are waiting for a heart transplant.
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Our department has highly specialised and qualified medical staff, including surgeons, doctors, and nurses to take you through the heart transplant process, from pre-surgical management to surgery and post-surgical rehabilitation. We also offer personalised follow-up care as part of our patient-centric ethos.

Our pre-surgical consultation includes regular monitoring of your heart and other organs, as well as recommendations for dietary and lifestyle changes to help you adjust to your new heart. After the procedure, we continue diet and exercise education to help you improve your health and recover after a heart transplant. We also closely monitor you for signs of transplant rejection and offer long-term follow-ups after heart transplant to evaluate the effectiveness of the surgery.

Along with heart transplant surgery, we also offer bridge treatments, including bridge-to-recovery and bridge-to-transplant interventions like mechanical circulatory support, extracorporeal membrane oxygenation (ECMO), and ventricular assist devices (VADs).

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In cases of heart failure due to:

  • In adults
    • Cardiomyopathy (weak heart muscle)
    • Coronary artery disease
    • Heart valve disease
    • Congenital heart defects
    • Heart rhythm problems not controlled by other treatments
    • Failure of a previous heart transplant
  • In children
    • Congenital heart defect
    • Cardiomyopathy
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