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 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.
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.
DNB (Cardiology) | DNB (Pediatrics)| MD in Pediatrics (Medical College, University of Calicut)| DCH (Medical College, University of Calicut) | MBBS (T D Medical College, Alleppey)
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
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.
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)
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
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.
MCh (Kerala University) |MS (Kerala University) | MBBS (Kerala University)
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
One of the most respected Interventional Cardiologists in South India, Dr. Anil Kumar has more than 25 years of experience in management of complex heart conditions and diseases in adults. Trained at some of the finest institutes in the United Kingdom and India, his areas of special interest include advanced management of heart failure and preventive cardiology.
Dr. Anil Kumar played the pivotal role in establishing Aster Medcity as the first centre in Kerala for MRCP (UK) PACES Examinations. The Federation Lead Examiner for PACES in Kochi, he was also instrumental in initiating Core Medical Training of the Royal College of Physicians (United Kingdom) at Aster Medcity, which is a first of its kind achievement in India.
Fellow of the American College of Cardiology | Fellow of the Gulf Heart Association | 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, Pondicherry) | MBBS (JIPMER, Pondicherry)
Expert in interventional management of heart diseases/ disorders/ failure in adults
Federation Lead Examiner for PACES (Royal College of Physicians, United Kingdom) in Kochi.
Worked as Head of Department of Cardiology at the Belhoul Speciality Hospital, Dubai
Trained in Cardiac Electrophysiology at the Freeman Hospital, Newcastle upon Tyne, United Kingdom
Former Professor of Cardiology at JIPMER, Pondicherry
Initiated the program of Coronary Angiography and Angioplasty, including Primary Angioplasty in JIPMER.
Commonwealth Scholarship Awardee
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
FIACTA (HON) | FTEE (HON)| MS (Baroda Medical College)| MBBS (Govt. Medical College, Thiruvananthapuram)
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
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) |
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
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
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)
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
DM in Cardiology (AIIMS-Delhi) |MD in General Medicine (JIPMER) Pondicherry | MBBS (Pariyaram Medical College)
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
DM in Cardiology (JIPMER) | MD in General Medicine (JIPMER) | MBBS (JIPMER)
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
DNB in General Medicine | Fellowship in Infectious Diseases (P D Hinduja Hospital,Mumbai) | Board Certified in Infection Control, Certification in Travel Health, European Diploma in Surgical Infections (SIS-Europe)| MBBS (Govt. Medical College, Thiruvananthapuram)
Infectious Diseases Specialist, KIMS Hospital, Trivandrum
In-Charge of Infection Control Program at KIMS Hospital, Trivandrum
Specialized training in Infectious Diseases from premier Institutes in India & USA
Close association with the Intensivists helped gain experience in managing infections in the critically ill
Developed the Infection Control Program at KIMS to the effect that international benchmarking could be done in line with INICC
One of the few Physicians in Kerala formally trained and practicing HIV Medicine
Experienced in evaluation & management of prolonged & undiagnosed fevers and also complicated Tropical Infections.
Management of adult immunizations, fever & infections in travelers
Published Research articles
Proficient in English, Malayalam, Hindi and Telugu
MCh in CTVS (PGIMER, Chandigarh)
MS in General Surgery (PGIMER, Chandigarh)
MBBS (Govt. Medical College, Thiruvananthapuram)
Senior Resident, GB Pant Hospital
Proficient in Malayalam, English and Hindi
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)
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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