HEART TRANSPLANT PROGRAMME​

When does one need a heart transplant?

Heart transplant means replacing one’s diseased heart with a healthy donated heart. An extremely complicated procedure, is suggested only when the heart failure is so severe that it cannot be managed with medication or any other mode of treatment.

Cardiac care has evolved phenomenally in the recent times, enabling us to treat complex heart problems effectively - medically and surgically. However, if the condition of the heart is such that no medications or surgical solution can bring any sort of relief, we have no choice but choose heart transplant as the way ahead.

Heart transplant is done in both adults and children; and Aster Centre of Excellence in Multi-Organ Transplant has a great team of doctors comprising adult and paediatric transplant experts.M

    What leads to the need for heart transplant in children?

    Children and infants are also highly susceptible to heart disease and might require heart transplant due to severe cardiomyopathy (weak heart muscles) and congenital heart disease that cannot be medically managed. Some children who have already undergone corrective cardiac surgeries might also require heart transplant due to re-occurrence of problems (continued cardiac problems).

      ​What all do you need to do before a heart transplant?

      If your doctor recommends a heart transplant, there are many formalities and tests you will need to complete before you undergo the surgery. You will need to go through an extensive screening process involving Radiological and Pathological Investigations. Our transplant team comprising Cardiac Surgeons, Cardiologists, Cardiac Anaesthesiologists, Pulmonologists and Pathologists will thoroughly review your reports to ensure that you’re medical fit for the surgery. We will then enlist you on the Heart Transplant List till we get notified of a suitable donor. Remember, waiting for a heart transplant might be a long drawn one for getting a donor – a suitable donor – is not easy. We will continuously monitor your health during this waiting period through regular check-ups and investigations. As soon as we get information that there is a donor heart available, we will contact you and if all factors are favourable, the transplant will be performed.

        Who gives you your new heart?

        The donor from whom you get a new heart is usually someone who would have signed up for organ donation before he or she died.

        The heart is surgically removed, with the full consent of the donor’s family, once the donor is certified brain-dead.

        The availability of donor organs are informed through an organ sharing network and the recipient is chosen based on the best possible match – with respect to the blood type, body type, recipient’s medical condition, and the waiting period.

        The religion/ race/ gender of the donor or the recipient does not matter (in any organ transplant for that matter) while determining the match.

        All donors are mandatorily screened for Hepatitis B and C and for HIV.

        When it comes to paediatric heart transplants, we make sure that your child gets the best care possible. Our team of experts comprises Paediatric Cardiac Surgeons and Paediatric Interventional Cardiologists with decades of experience to their credit. We have specialised, state-of-the-art facilities for this programme including a Level 3 PICU that’s managed by internationally trained paediatric intensivists.

        Waiting for a heart can be quite distressful, but if everything goes well, it’s definitely a second chance at life.

          How is the heart transplant done?

          Once a donor heart becomes available and all other factors are ascertained favourable, our entire transplant team gets ready for the surgery.

          Our transplant surgeon will remove the diseased heart of the patient, except the back walls of the atria - the heart’s upper chambers.

          The backs of the atria of the donated heart are opened and sewn into place; and blood vessels are connected, allowing the blood to flow to the heart and lungs. As the heart warms up, it starts beating.

          You’ll be able to sit up and walk within a few days after the surgery, and if there are no signs of organ rejection, you can go home in probably about two weeks.

            ​What are the possible post-surgery complications?

            The two major complications that can arise after a heart transplant surgery are infection and rejection.

            Rejection occurs when your body’s immune system fails to recognise the transplanted heart and tries to destroy it. We will put you on immunosuppressants to minimise this risk. You might also be required to undergo a procedure called Myocardial Biopsy at prescribed intervals to check for signs of rejection.

            Infections can occur post surgery, posing a threat to life. However, we have the most advanced infectious diseases and infection control wing, which include facilities like the HEPA Filter that purifies the air to 0.3 microns.

            There’s also a possibility of coronary artery disease in patients who’ve received transplant. This is a life-threating condition because most of them feel no symptoms such as angina (chest pain) as they have no sensation in their new hearts.

            You should seek immediate medical help if you notice symptoms like fever, chills, aches, dizziness, nausea, shortness of breath, chest pain or tenderness, unexplained fatigue, spike in blood pressure, persistent cough, white patches in your mouth or tongue, foul-smelling urine, nasal congestion and diarrhea.

              Post-surgery care

              Post-surgery care is extremely crucial and you have to take up the responsibility of your own health and wellbeing.

              Make sure you take your medications on time. And remember that these medications must be taken for life.

              Exercise - we encourage heart transplant recipients to increase physical activity to improve the functions of the heart and avoid weight gain. However, you’ll need to take the advice of your Cardiologist and Rehabilitation Therapist before you start on your regime.

              We’ll give you specific instructions on what you should eat and what you should not. A low-fat, low-sodium diet will decrease the risk of heart diseases, high blood pressure and fluid retention.

              Remember, how you recover, how well you recover and how quickly you recover depend on many factors including your age, general health and your response to the transplant.

              Patients, especially children will need to be monitored all their life to ensure nothing is wrong. Fortunately, according to worldwide statistics, almost 85% heart transplant recipients get back to their normal life within a reasonable time.

              The most important of all are regular check-ups. Missing even one means you are neglecting your health. So visit your doctor at regular intervals, get your investigations done on time and lead a healthy lifestyle. It’s a second chance at life, make sure you live it well.

              Doctors Logo
              Dr. Anil S.R
              Senior Consultant
              Dr. Anil S.R

              Dr. Anil S.R is Consultant, Paediatric Cardiology, CoE Cardiac Sciences. He has more than 14 years of experience in comprehensive management of cardiac diseases in children and is an expert at Paediatric Cardiac Interventions, 2D and 3D Echocardiography and Fetal Echocardiography. He is a national board certified trainer for FNB program for Paediatric Cardiology.

              Qualifications

              DNB (Cardiology) | DNB (Pediatrics)| MD in Pediatrics (Medical College, University of Calicut)| DCH (Medical College, University of Calicut) | MBBS (T D Medical College, Alleppey)

              Achievements

              Senior consultant Pediatric Cardiologist, Apollo Hospital, Jubilee Hills, Hyderabad

              Instrumental in establishing and headed Pediatric Cardiology Unit at MIMS Calicut, handled approximately 10 open heart surgeries every month Performed hundreds of Pediatric Cath procedures and Invasive procedures including open heart surgeries

              Active involvement with several charitable bodies that facilitate cardiac care, including surgery, for underprivileged children

              Consultant Pediatric Cardiologist, MIMS

              Fellowship In Cardiology, Sri Sathya Sai Institute Of Higher Medical Sciences, Puttaparthy

              Specialist, Department of Pediatric Cardiology, Amrita Institute of Medical Sciences, Kochi

              Published articles in prominent international and Indian medical journals

              SEARLE Award, 53rd annual CSI conference, Hyderabad

              Award for innovative technique at Asia Pacific pediatric cardiology cardiac surgery conference, New Delhi

              Proficient in English, Malayalam and Hindi

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              Dr. Manoj P Nair
              Senior Consultant
              Dr. Manoj P Nair

              Dr. Manoj P Nair is Senior Consultant, Cardio Vascular Thoracic Surgery, CoE Cardiac Sciences. A veteran Cardiac Surgeon with 20 years of experience and over 5700 surgeries to his credit, he is trained to perform all Cardiovascular and Thoracic surgery procedures – a talent, unmatched. He is former Professor of CVTS and pioneered Hybrid Aortic Aneurysm Surgery in Kerala.

              Qualifications

              M.Ch in Cardio Thoracic Surgery (Govt. Medical College, Thiruvananthapuram) | M.S. in General Surgery (Govt. Medical College, Kottayam) | M.B.B.S (Govt Medical College, Allepey)

              Achievements

              Professor in Cardiovascular and Thoracic Surgery, Amrita Institute of Medical Sciences and Research Centre, Cochin,

              Associate Professor in Cardiovascular and Thoracic Surgery, Sri Venkateswara Institute of Medical Sciences, Tirupati, AndraPradesh,

              Pioneered Hybrid Aortic Aneurysm Surgery in Kerala

              Performed over 5700 procedures including 2200 CABG, 2000 Valve Replacements and 1500 Lung Resections (all types)

              Plans to perform Single Lung Transplant and Heart Transplant

              Proficient in English, Malayalam, Hindi and Telugu

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              Dr. Sajan Koshy
              Senior Consultant
              Dr. Sajan Koshy

              Dr. Sajan Koshy is Senior Consultant, Paediatric Cardiac Surgery, CoE Cardiac Sciences. He has more than 15 years of experience in Cardiology and is an expert in Paediatric Cardiac Surgery - especially Cardiac Surgery in newborns with congenital heart diseases. He has been instrumental in creating public awareness on Pediatric Cardiac Surgery in North Kerala, in association with NGOs.

              Qualifications

              MCh (Kerala University) |MS (Kerala University) | MBBS (Kerala University)

              Achievements

              Involved in the care of more than 10000 children with congenital heart surgeries, particularly in newborns.

              Senior Specialist at MIMS, Calicut

              Established pediatric cardiac surgery in MIMS Calicut, the only unit in North Kerala catering to children with congenital heart diseases.

              Incorporated public participation in treatment of congenital heart surgery by associating with NGOs

              Instrumental in popularizing pediatric cardiac surgery in North Kerala

              Specialist in Pediatric Cardiac Surgery in Amritha Institute of Medical Sciences Kochi.

              Published articles in prominent Indian & International medical journals

              Proficient in English and Malayalam

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              Dr. Anil Kumar R
              Senior Consultant
              Dr. Anil Kumar R

              Dr. Anil Kumar R, Senior Consultant, CoE Cardiac Sciences, is a veteran Cardiologist with more than 22 years of experience. Former Professor of Cardiology at JIPMER, he has worked in UK, UAE and India and is rated among the top Cardiologists in Kerala. An expert in Interventional Cardiology and Cardiac Electrophysiology, his areas of special interest are advanced management of heart failure and preventive Cardiology.

              Qualifications

              Fellow of the American College of Cardiology | Fellow of the Cardiological Society of India | Fellow of the Royal College of Physicians (Edinburgh)| |MRCP (UK) | DM in Cardiology (GB Pant Hospital, New Delhi)| MD (JIPMER) | MBBS (JIPMER)

              Achievements

              Head of Department of Cardiology at the Belhoul Speciality Hospital, Dubai

              Trained in Cardiac Electrophysiology at the Freeman Hospital, Newcastle upon Tyne, UK.

              Former Professor of Cardiology at JIPMER, Pondicherry, one of India’s premier medical institutes

              Initiated the program of Coronary Angiography and Angioplasty, including Primary Angioplasty in JIPMER

              Awarded Commonwealth Scholarship

              Mentor to many Post Doctoral Fellows in invasive cardiology.

              Published 18 articles in International and Indian medical journals

              Authored Chapters in Cardiology Update & Textbook of Cardiology

              Proficient in English, Malayalam, Tamil and Hindi

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              Dr. Suresh G Nair
              Senior Consultant
              Dr. Suresh G Nair

              Dr. Suresh G Nair is Senior Consultant, Department of Anaesthesiology, Pain Medicine and Critical Care Services. A veteran in Anaesthesiology with more than 25 years of experience in pain and Critical Care, Medical Intensive Care, Transoesophageal Echocardiography and Mechanical ventilation, he is an expert capable of handling even the most complicated cases, across multiple Specialities. He also has 15 years of experience in teaching as Professor and Head Of Department.

              Qualifications

              FIACTA (HON) | FTEE (HON)| MS (Baroda Medical College)| MBBS (Govt. Medical College, Thiruvananthapuram)

              Achievements

              Associate Professor, Sree Chithira Thirunal Institute of Medical Sciences, Thiruvananthapuram

              Professor and Head of Department, Anaesthesia and Critical Care, AIMS, Kochi

              22 years of teaching experience

              Examiner for MD anesthesia

              Examiner for DNB anesthesia

              Examiner for fellowship in cardiac anesthesia

              Teacher in Transoesophageal Echocardiography

              Published 46 Research articles in International and Indian Journals

              Proficient in English, Malayalam, Hindi, Gujarati and Tamil

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              Dr. Rajappan Pillai. P
              Consultant
              Dr. Rajappan Pillai. P

              Dr. Rajappan Pillai .P, Consultant, Paediatric Intensive Care, CoE Child and Adolescent Care is a Paediatric Intensive Care Physician since 2006, and specialised training at the finest facilities in the United Kingdom, including the Great Ormond Street Hospital. An expert in providing highly advanced life support facilities like Inhaled Nitric Oxide, ECMO and Mechanical Ventilation to critically ill children and also stabilising and transporting them from peripheral hospitals to the main hospital, he specialises in Cardiac Intensive Care, Retrieval Services, Post Solid Organ Transplant Intensive Care and Aeromedical Transfer.

              Qualifications

              Fellowship - Paediatric (Kings College Hospital, London) |Fellowship- Retrieval& Aeromedical Transfer (Children’s Acute Transfer Services, London) | Fellowship - Paediatric & Cardiac Intensive care (Great Ormond Street hospital, London, United Kingdom) | MD in Pediatrics (JJM Medical College, Davangaree| MBBS (Government Medical College, Alappuzha, University of Kerala) |

              Achievements

              Previuos faculty in Neonatal and Paediatric Intensive Care at Christian Medical College, Vellore

              Trained in triaging, stabilisation and retrieval of critically ill children at CATS, one of the largest specialist Paediatric retrieval services in Europe

              Trained in Aeromedical transfer of critically ill children

              Trained in highly complex Paediatric medical and surgical emergencies at Great Ormond street hospital for childre, London, one of World’s best Children’s Hospitals

              Trained in managing post op cardiac patients and ECMO patients at the Cardiac intensive care unit at Great Ormond street hospital for childre- one of the busiest center of Children’s cardiac surgery in the World and among the biggest ECMO center for children in Europe.

              Trained in Post-operative management of Pediatric Liver Transplant patients at King’s College Hospital, London- the biggest center for pediatric liver transplant in the World

              work Experience

              Clinical Fellow, Paediatric Liver transplant & Intensive care unit, Kings College Hospital, Denmark hill. London

              Senior Clinical Fellow, Paediatric & Cardiac Intensive Care Unit, Great Ormond Street hospital. London

              Retrieval Fellow, Children’s Acute Transport Service (CATS), Great Ormond Street Hospital, London

              Clinical Fellow, Paediatric Intensive care unit, St Mary’s hospital, Imperial Healthcare trust. London

              Assistant professor, Paediatric intensive care unit, Christian Medical college, Vellore

              Assistant Professor, Neonatal intensive care unit, Christian Medical College, Vellore

              Associate Professor, Neonatal intensive care unit, Pushpagiri Medical College, Thiruvalla

              Proficient in English, Malayalam Hindi, Tamil & Kannada

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              Dr. Joel Devasia
              Consultant
              Dr. Joel Devasia

              Dr. Joel Devasia is Consultant, Department of Anaesthesia, Pain Medicine and Critical Care, with 7 years of experience as an Anaesthetist. He specialises in Cardiac Anesthesia, and his fields of special interests are Pediatric cardiac Anaesthesia and critical care. He is former Assistant Professor of Cardiac Anaesthesia at Amrita Institute of Medical Sciences, Kochi.

              Qualifications

              Fellowship in Perioperative Trans-esophageal Echocardiography (Indian Association of Cardiovascular and Thoracic Anesthesiologists) | PDCC in Cardiac Anaesthesia (Amrita Institute of Medical Sciences) | DNB in Anaesthesiology (Medical Trust Hospital) | DA (Goa Medical College) | MBBS (Goa Medical College)

              Achievements

              Assistant Professor of Cardiac Anaesthesia at Amrita Institute of Medical Sciences, Kochi

              Observer at Sick Kids Hospital, Toronto, Canada

              Teaching experience of almost 6 years in medical college and premier institutions

              Presented an award winning paper at the Cardiac Anaesthesia Update at Chennai in 2011

              Experience in coordinating and training for BSc. Respiratory Therapy Programme

              Involved in ACLS and BLS training for In-hospital staff

              Executive member in organizing committee of the 16th National conference of the Indian Association of Cardiovascular and Thoracic Anaesthesiologists at Kochi, 2013

              Published articles in prominent Indian Medical Journal

              Proficient in English, Hindi, Malayalam, Konkani, Marathi

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              Dr. Sunil Shivdas
              Consultant
              Dr. Sunil Shivdas

              Dr. Sunil Shivdas is Consultant, Interventional Cardiology, CoE Cardiac Sciences. With more than 3 years of experience, he is an expert in complex Coronary Interventional procedures like Primary Angioplasties, Bifurcations, Chronic Total Occlusions and his areas of special interest include Interventional Structural Heart Disease, Peripheral Arterial Disease and Heart Failure Management.

              Qualifications

              DM in Cardiology (AIIMS-Delhi) |MD in General Medicine (JIPMER) Pondicherry | MBBS (Pariyaram Medical College)

              Achievements

              Consultant Cardiologist, Moulana Hospital

              Senior Resident, Department of Cardiology, JIPMER

              First Rank in All India Post Graduate Medical Entrance

              Young Investigator Award from CSI

              Published Research Articles online

              Proficient in English, Malayalam, Hindi

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              Dr. Raja Sekhar Varma
              Consultant
              Dr. Raja Sekhar Varma

              Dr. Raja Sekhar Varma is Consultant, Interventional Cardiology, CoE Cardiac Sciences. He has more than 9 years of experience in complex Cardiac and Endovascular procedures, and is an expert in diagnostic non-invasive procedures. His areas of special interest include Complex Coronary Angioplasty, Arrhythmia Management, Interventions for Acute MI, Interventions for Structural Heart Disease and heart failure and complex Endovascular Interventions.

              Qualifications

              DM in Cardiology (JIPMER) | MD in General Medicine (JIPMER) | MBBS (JIPMER)

              Achievements

              HOD & Consultant Interventional Cardiologist, Sagar Hospitals-DSI, Bangalore

              Consultant Interventional Cardiologist, Moulana Hospital

              Training at Seoul, S Korea in Left Main Angioplasty

              Senior Resident, Dept of Cardiology, JIPMER

              JIPMER Alumni Award for being the Best All-round Undergraduate Medical Student of the year

              Won numerous awards and certificates in various disciplines including Nallam Satiyanarayanamma Gold Medal for securing the first position in the MD- General Medicine- Examination of Pondicherry University

              MOH Hassan Kuthoos Marikkar Endowment Prize in Cardiology

              N Abdoul Cader Ibrahime Memorial Prize in Neurology

              Published articles in prominent medical journals

              Proficient in English, Malayalam, Hindi, Tamil and Kannada

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              Dr. Viju Joseph Abraham
              Senior Specialist
              Dr. Viju Joseph Abraham

              A Cardiac Surgeon, Dr. Viju Joseph Abraham is trained to perform cardiac, thoracic and vascular surgeries in adults and children.

              Qualifications

              MCh in Cardiothoracic and Vascular Surgery (Sawai Man Singh Medical College and Hospital, Jaipur) | MS in General Surgery (Christian Medical College, Ludhiana) | MBBS (Christian Medical College, Ludhiana)

              Achievements

              Assistant Professor, Christian Medical College, Ludhiana

              Medical Officer, Chrita Mitra Ashram Hospital, Karnataka

              Proficient in English, Hindi, Punjabi, Malayalam and Kannada

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              Dr. George Varghese
              Senior Specialist
              Dr. George Varghese

              A Cardiovascular Thoracic Surgeon who has 4 years of experience as a General Surgeon, Dr. George Varghese K is trained in surgical management of heart diseases in adults.

              Qualifications

              MCh in CTVS (PGIMER, Chandigarh)

              MS in General Surgery (PGIMER, Chandigarh)

              MBBS (Govt. Medical College, Thiruvananthapuram)

              Achievements

              Senior Resident, GB Pant Hospital

              Proficient in Malayalam, English and Hindi

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              Dr. Brijesh Ray R S
              Senior Specialist
              Dr. Brijesh Ray R S

              A Radiologist with 4 years of experience in both diagnostic and interventional procedures, Dr. Brijesh Ray is trained in vascular interventions and cardiovascular imaging. His areas of special interest include fetal and gastrointestinal imaging.

              Qualifications

              Post Doctoral Fellowship in Vascular Interventional Radiology and Cardiac Imaging (Sree Chitra Tirunal Insititute for Medical Sciences and Technology, Thiruvananthapuram) | DNB in Radiology (Govt. Medical College, Thrissur) | MBBS (Govt. Medical College, Ernakulam)

              Achievements

              ADHOC Consultant, Department of Imaging Sciences and Interventional Radiology, Sree Chitra Tirunal Insititute for Medical Sciences and Technology, Thiruvananthapuram

              Department of Radiology, KIMS, Thiruvananthapuram

              Department of Radiology, Govt. Medical College, Thrissur

              Proficient in English, Malayalam and Hindi

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