About CARE Hospitals

With 14 hospitals spread across 6 cities, CARE Hospitals is a regional leader in tertiary care. It is ranked among the top 5 pan-Indian hospital chains and is driven by the core principle “to provide care that people trust”, through cost-effective medical care in more than 30 specialties.

Heart Transplant

A heart transplant is a surgical procedure to replace a diseased, failing heart with a healthy heart that has been secured from a deceased donor. This surgery is required for patients who suffer from end-stage heart failure and have tried all other treatments. A heart transplant is a very complex surgery and requires to be undertaken by the most experienced of surgeons. At CARE Hospitals, our panel of heart transplant surgeons has had extensive training and experience and has undertaken numerous successful surgeries.

We are delighted to announce the clinical association with world renowned Heart Transplant Surgeon Dr. K R Balakrishnan

(OPD - 1st and 3rd Tuesday of every month at CARE Hospitals, Banjara Hills, Limited appointments)

  • Dr. Balakrishnan has performed more than 306 Heart Transplants over the past 9 years. Last year Dr. Balakrishnan has performed 102 Heart Transplant which included 29 Pediatric Heart Transplants.
  • This count of 102 is the 3 highest in the world, highest cases being 116 which were done in Mount Senai.
  • Dr. Balakrishnan also did 54 LVAD last year. He has also performed more than 30 Lung Transplants.
  • His passion & expertise will take the group to new heights in terms of transplant & LVAD work.
  • Dr. Balakrishnan will be available at CARE Hospitals, Banjara Hills on 1 & 3 Tuesday of every month.
  • In addition to Hyderabad he will help us in developing and laying the foundation work towards various advance therapies for per cutaneous ECMO,LVAD, Heart and Lung Transplants across our hospitals in Bhubaneswar, Visakhapatnam & Raipur.

Why Is It Required?

  • Weakening of the heart muscles
  • Coronary heart disease
  • Congenital heart defect (caused by birth)
  • Valvular heart disease
  • Failure of previously performed heart transplant

Who Is a Good Candidate for Heart Transplant?

To ascertain if you are a good candidate for heart transplant, the panel of doctors at the hospital may evaluate you based on the following parameters:

  • Whether all other medicines and treatments have been tried?
  • What are the chances of survival without a transplant?
  • Is the patient capable of adjusting to the medication and lifestyle changes that will be required after transplant?

A number of physical and psychological tests are conducted. If you are deemed to be a good candidate, you are put on a patient waiting list till a viable donor heart is available. Once it is available, you need to be ready for hospital admission and the surgeon must know about your medical history, well before the procedure.

Procedure

  • Once the heart is made available, our team of surgeons immediately removes the heart from the donor’s body and prepares it for transplant.
  • The donor's heart is cooled down and kept in a special solution to maintain its healthy condition.
  • It is critical for the transplant to take place at the earliest after the heart becomes available.
  • The transplant is performed by a multi-disciplinary team of medical experts.

Post-Operative Care

Heart transplant patients require a lot of post-operative care. They need to be monitored for organ rejection and are put on immunosuppressant medication. It is also possible that the doctors may need to regularly conduct biopsy on the transplanted heart tissue to check for signs of rejection. This is done through a catheter which is inserted through a vein connected to the heart.

Monitoring for rejection and transplanted organ damage are the most important aspects of post-operative care. Immunosuppressants are adjusted which makes it important for the patient to remain in a clean, hygienic, and infection-free atmosphere in the days following the surgery.

Heart transplant is now a procedure undertaken routinely at CARE Hospitals. Our surgeons are experts at rehabilitative care and use the latest technology to minimise the length of the hospital stay.

Why CARE Hospitals?

CARE Hospitals is recognized as the most advanced, all-round cardiac care center in the country, powered by cross-functional teams comprising of round-the-clock available cardiologists, cardiac surgeons, critical care and emergency medicine specialists. The founding team of CARE Hospitals comprise of medical innovators and pioneers who are passionately driven to make healthcare affordable for all, while ensuring clinical outcomes at par with international standards.

LVAD Technology

If you have reached a stage of advanced heart failure where your heart is no longer able to pump enough blood to meet your body’s needs, your doctor may recommend LVAD (left ventricular assist device) implant surgery. Today’s LVADs are used in three different ways:

  • When an LVAD is implanted in a patient waiting for a heart transplant, it’s called Bridge to Transplant. The patient’s LVAD may remain in place for several years until a heart donor becomes available for transplant.
  • If a patient is not eligible for a heart transplant, an LVAD may be implanted as a permanent solution. This is called Destination Therapy and is becoming more and more common as LVAD technology—and the quality of life it offers—continues to improve.
  • An LVAD that is implanted for temporary heart failure is called Bridge to Recovery. In rare circumstances, a heart may recover its strength after being given time to “rest” with the help of an LVAD. In the vast majority of cases, however, advanced heart failure is a permanent and irreversible condition.

If your doctor has recommended an LVAD for you, you may find it reassuring to know that there are thousands of people around the world with LVADs living active, productive lives. They are spending time with friends and family and doing the things they love.

LVAD

An LVAD is a surgically implanted mechanical pump that is attached to the heart. An LVAD is different from an artificial heart. An artificial heart replaces the failing heart completely whereas an LVAD works with the heart to help it pump more blood with less work. It does this by continuously taking blood from the left ventricle and moving it to the aorta, which then delivers oxygen-rich blood throughout the body.

The LVAD has both internal and external components. The actual pump sits on or next to your heart’s left ventricle with a tube attached that routes the blood to your aorta. A cable called driveline extends from the pump, out through the skin, and connects the pump to a controller and power sources worn outside the body.

The driveline must be connected to the controller, and the controller must be connected to power at all times to keep the pump working properly. The pump is powered by batteries or electricity. Some LVADs have an adaptor that also allows them to run off the car battery. Each device has specific carrying cases to allow you to move about freely with your equipment.

LVAD Technology

There are several different LVAD models available today. Each has unique engineering characteristics and different external equipment, but they all serve the same function. Today’s LVADs are quite different from earlier models, which were larger, noisier and less durable, with bulkier power sources. Some newer LVADs are currently undergoing approval in the U.S. Most have already been approved in Europe, where the approval process tends to take less time.

As LVAD technology continues to improve, so does the quality and quantity of life for LVAD patients: today’s LVAD patients. Today's LVAD patients have at least an 85% one-year survival rate* and can enjoy fulfilling lives and in many cases even return to work. By contrast, advanced heart failure with medical therapy alone is known to have a 25–50% one-year survival rate.

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