Heart & Lung Transplant

Heart and Lungs end stage disease can be due to multiple long standing cause or it can be due to sudden onset of a disease which can significantly affect the normal functioning of the most vital organs.

Heart diseases , the leading cause of death in among the Non communicable diseases , can worsen to an extent that can cause heart failure.

The prevalence of Heart failure is highly underestimated that it is most often identified in the terminal stage . An entity called Heart Failure with preserved Ejection fraction (HFprEF) contributes to more than 40 % of the Heart Failure population and is most often overlooked by the physicians.

The Heart , a biological pump that perfuses all the other vital organs, many times the inefficiency of the pump can be reflected as , high pulmonary (lungs) blood pressure since its connected in series with Heart, poor functioning of other organs like Kidney or can complicate with Stroke. Heart Transplantaion is offered to failing Heart once the patient is refractory to all the supportive cardiac medications

End stage Lung disease is not uncommon , and the Covid-19 pandemic has shown the whole world how serious an End stage Lung disease can be. Failing Lungs can affect the Right Heart and can cause failure of Heart too. Timely intervention of the Lung disease is utmost important to spare the heart.

Heart and Lungs , the Twin brothers are completely interdependent and failure of one organ can cause failure of other too...

About the Program and team

The program

Departement of Advanced Heart and Lung Disease is focussed on managing patients with end stage Heart and Lung disease who are refractory to anti heart and lung failure medications.

What we do?

• Heart transplantation
• Lung Transplantation
• Heart and Lung Transplantation enbloc
• Mecahnical circulatory support - ECMO (Extra Corporeal Membrane Oxygenator and VADs (Ventricular assist Devices )

How we do (Operate)

A team of Doctors from Multiple specialities, Nurses and Technicians work towards common goal, i.e., both Curative and purative treatment to the end stage disease.

Heart

Adult and pediatric Heart transplantation. For Dilated , Restricted and Hypertrophic Cardiomyopathy

• For Complex Congenital Cardiac Disease (CCHD)
• Ischaemic Cardiomyopathy
• Refractory Cardiac Failure of any Etiology
• Ventricular Assist devices
• ECMO and other Mechanical circulatory support
• Complex congenital Cardiac repairs - Total correction and palliative repairs
• Aortic Surgeries
• Valve Repairs
• And other surgeries like CABG, Minimal Invasive cardiac surgery , Video Assisted Thoracic Surgery and Robotic Thoracic surgeries

Lung

Lung transplantation for end stage Lung disease

• Primary Pulmonary Hypertension
• Interstitial Lung Diseases
• Idiopathic Pulmonary fibrosis
• Bronchiectasis
• Broncho pulmonary dysplasia
• COPD
• Heart and Lung Transplantation en-bloc
• Video Assisted Thoracic surgeries

ECMO and VADs

Extra Corporeal Membrane Oxygenation

Veno Arterial (V-A)

• E-CPR
• Cardiogenic Shock due to MI or any etiology
• Pulmonary Thrombo embolism
• Bridge to Cardiac Transplantation
• Bridge to Decision making
• Bridge to VAD
• High Risk Cath Lab Interventions
• Cardiotoxic poisoning

Veno Venous ( V-V)

• COVID 19
• H1N1 and any severe viral Pneumonia
• Acute Respiratory Disease Syndrome (ARDS)
• Refractory Respiratory Failure due to any other ethology
• Bridge to Lung Transplantation

Ventricular Assist Devices (VAD)

Using Centrifugal pump to support the failing Ventricle

• LEFT and or RIGHT
• Temporary / Permanent
• As Bridge to Recovery
• Bridge to Transplantation
• Temporary LVAD as Bridge to Permanent VAD
• HEART MATE 2
• HEART MATE - 3 &
• IMPELLA