Heart Transplant Surgery Cost in India, Treatment, Hospital, Top Doctor

পদ্ধতির আগে

There is a shortage of donors, so you may be on a transplant list for some time. You may need to carry a cell phone with you at all times. This is to allow the transplant team to reach you if a donor heart becomes available. You may need to stay in the hospital for monitoring. You may need to be on continuous IV medicines to help stabilize the function of your diseased heart. Some may need to have a mechanical pump called a ventricular assist device (VAD). The device will help to stabilize your heart while you are waiting for a transplant.

• Your doctor will monitor your health to make sure that you are ready for the heart transplant.
• Talk to you doctor about all medicines you are taking. You may be asked to stop taking aspirin or other anti-inflammatory drugs for one week before surgery. You may also need to stop taking blood-thinning medicines, such as Clopidogrel (Plavix) or Warfarin (Coumadin).
• Do not take over-the-counter medicine without checking with your doctor.
• হাসপাতালে আসা-যাওয়ার ব্যবস্থা করুন।
• Arrange for help at home after the surgery.
• Eat a light meal the night before the surgery. Do not eat or drink anything after midnight.

Before the surgery, your doctor will likely do the following:

• শারীরিক পরীক্ষা
• কার্ডিয়াক ক্যাথেটারাইজেশন
• Echocardiogram—a test that uses high-frequency sound waves (ultrasound) to examine the size, shape, and motion of your heart
• Identify your blood and tissue type
• Tests to exclude diseases in other organ systems that may prevent you from receiving a transplant

এনেস্থেশিয়া

General anesthesia will be used. It will block pain and keep you asleep through the surgery. It is given through an IV in your hand or arm.

পদ্ধতির বর্ণনা

After you are asleep, the doctor will cut through the skin and breastbone. She will open the chest and connect you to a heart-lung machine. This machine takes over the functions of the heart and lungs during surgery. The doctor will then remove your heart. The donor heart will be prepared and sewn into place in your chest. Next, the blood vessels will be connected. After this, the blood will start to flow and warm the heart.

The new heart may begin beating on its own, or the doctor may give you an electrical shock to get your heart started. For safety, you will also have a temporary pacemaker attached to the heart to help the heart beat stay regular. Once the doctor is sure that the heart is beating fine, the blood will be rewarmed. The heart-lung machine will be disconnected. Next, temporary tubes may be placed in the chest cavity to drain any blood that has collected. The doctor will close the chest with stainless steel wires. Lastly, the skin will be closed with absorbable sutures.

অবিলম্বে প্রক্রিয়া পরে

You will be closely monitored in the intensive care unit (ICU) with the help of some/all of the following devices:

• হার্ট মনিটর
• Pacing wires used to help the heart beat normally
• Tubes connected to a machine that helps drain excess blood and air
• Breathing tube, until you can breathe on your own

কতক্ষণ এটা লাগবে?

8 hours

এটা আঘাত করবে?

পুনরুদ্ধারের প্রক্রিয়া চলাকালীন আপনার ব্যথা হবে। আপনার ডাক্তার আপনাকে ব্যথার ওষুধ দেবেন।

গড় হাসপাতালে থাকার

This procedure is done in a hospital setting. The usual length of stay is at least two weeks. Your doctor may choose to keep you longer if you shows signs of rejecting the new heart or have other problems.

পোস্ট-প্রক্রিয়া যত্ন