When it comes to heart
We go heart-to-heart

Cardiac Sciences

Overview

Department of Heart Transplantation

A heart transplant, or a cardiac transplant, is a surgical transplant procedure performed on patients with end-stage heart failure or severe coronary artery disease when all other medical or surgical treatments have failed. 

The most common procedure is to take a functioning heart, with or without both lungs, from a recently deceased organ donor (brain death is the standard) and implanting it into the patient. The patient's own heart is either removed and replaced with the donor heart (orthotopic procedure) or, much less commonly, the recipient's diseased heart is left in place to support the donor's heart (heterotopic, or "piggyback", transplant procedure).

Heart transplantation is not considered to be a cure for heart disease; rather it is a life-saving treatment intended to improve the quality and duration of life for a recipient. Since the performance of the first human heart transplant in 1967, heart transplantation has changed from an experimental operation to an established treatment for advanced heart disease. People who have advanced (end-stage) heart failure, but are otherwise healthy, may be considered for a heart transplant.

Continental Hospitals have state-of-the-art infrastructure to support the function and have attracted some of the best intellect and expertise from this field. They all follow the philosophy of excellence and empathy and give their whole in seeing the patient back home with a new heart. The round-the-clock paramedical and support staff is very caring and concerned and intertwines with the patient's family to educate and train them and support them emotionally, whenever required.

Continental Institute of Cardiovascular Sciences is a specialized and one of the best cardiology hospitals in Hyderabad committed to preventing, improving and repairing heart and vascular health.

Through a comprehensively designed program consisting of contemporary medical invasive and non-invasive procedures, state of the art operation theatres equipped with the latest technology and robust diagnostic support, we offer the entire realm of heart care- from diagnosis to rehabilitation.

With a high focus on a compassionate and secure doctor-patient relationship, Continental Hospitals has set a benchmark for high-quality medical care and is among the best heart hospitals in Hyderabad.

Facilities at Continental for Heart Care are by far the best and include:

  • Cardiac Preventive & Nutrition Centre
  • Advanced Heart Failure Centre
  • Arrhythmia Centre
  • Cardiac Catheterization Lab
  • Comprehensive Cardiovascular & Thoracic Surgery Services
  • Electrophysiology Lab with 3D Cardiac Mapping & Radio Ablation System
  • Echocardiography (2D & 3D) Lab
  • Echocardiography (2D & 3D) Lab

Diagnosis for heart and lung transplant is not a matter of a few tests and is not spread out over just a few days or weeks. It is an ongoing process as the condition of the patient’s heart is monitored. It is also a multi-disciplinary one as it involves other specialists who can vouch for the performance of their respective systems in the patient’s body and give the green signal for the surgery. Also, a transplant is performed only if all other means of treatment have failed or do not yield any results. Once it has been decided to go ahead with the transplant, a battery of tests awaits the patient. Also, the severity of the patient’s condition determines the priority on the waitlist.

The heart transplant treatment includes the entire process after diagnosis, which we have explained in its entirety below.

A transplant is required only if any of the heart valves, heart muscles or lung tissue have been permanently and irreversibly damaged. There are two bases of evaluation of the patient's condition. By the first, we assess if there are any conventional methods of treating the disease and only upon exhaustion of those do we consider transplant as an option. By the second we evaluate if a transplant will make any difference at all to the patient and his life afterward. The former is an ongoing process involving your physician and cardiologist. The patient is evaluated for the fitness of other supporting organ systems, any other medical conditions, infections that may disqualify the patient from receiving an organ and the ability of the patient and the family to go through the grind. After the transplant, there is a lot of dedication expected from the patient’s side. The transplant can be successful only if the patient is willing to follow a fixed diet, remain on medication throughout, be regimented about exercise, and do the regular follow-ups. An informative educational session is always given to the patient and the family, explaining all aspects of the treatment. We at Continental patiently explain the entire process and educate the patient and the family about all its aspects. Therefore, Continental Hospitals is the best place for the treatment of heart failure.

The wait time for a heart or lung in the case of a transplant is not in the control of the surgeon but ranges between 2 to 6 months. The patients are ordered not only according to the time at which they join the queue but also based on their condition. Some patients are classified as Status 1 patients, meaning they have to be prioritized over others. The diagnostic tests are also routine ones, excepting one or two that may require the patient to get admitted for a day or so.

A heart transplant is a proven safe method. The first transplant was done in 967 by Dr. David Bernhardt in Africa and since then over 100,000 transplants have been done. About 4000 transplants are done annually across the world, 50 of them in India. The number is small since there are only a few facilities in the country equipped to do this procedure. Continental Hospitals is one of the best hospitals for heart transplant surgery in Hyderabad.

What are the different types of cardiac diseases or heart diseases that we treat at Continental Hospitals?

Treatment of heart diseases can be managed effectively with lifestyle changes, medicines, and in some cases surgery. Continental Hospital guides patients suffering from heart diseases or cardiac diseases with proper counseling from our best heart specialists, who explain the implication of the heart diseases to the patients and informs them about any surgical procedures that are available to the patients at Continental Hospitals.

The different types of cardiac diseases or heart diseases are:

  • Coronary Artery Disease or ischemic heart disease is plaque build-up in the walls of the coronary arteries that supply blood to the heart.
  • Cardiomyopathy is a disease of the heart muscle which makes it hard for the heart to deliver blood to the body
  • Angina is chest pain caused by reduced blood flow to the heart muscles.
  • Hypertension or elevated blood pressure is the excessive force or pressure exerted by the circulating blood on the walls of blood vessels, namely arteries in the body
  • Cardiac Arrhythmia is the change in heart tissue or in electric signals that control the heartbeat. It is a problem in the rate of heartbeat.
  • Dyspnoea is shortness of breath of a person
  • Congestive Cardiac Failure is the inability of the heart to pump blood with normal efficiency
  • Myocardial Infarction, also known as heart attack, is permanent damage to the heart muscle
  • Rheumatic Heart Disease occurs when the heart valves have been permanently damaged by rheumatic fever, an inflammatory disease.
  • Congenital Heart Disease is an abnormality or defect, wherein the heart or the blood vessels near the heart do not develop normally before birth
  • Atrial Septal Defect, also known as “hole” in the heart, is a disorder of the heart that is present at birth (congenital) and involves a hole in the wall (septum) that separates the two upper chambers (atria) of the heart. It is characterized by an abnormal murmur of the heart.
  • Ventricular Septal Defect (VSD) is a birth defect of the heart when there is a hole in the wall (septum) separating the two lower chambers (ventricles) of the heart. 
  • Ischemic Heart Disease is a condition in which fatty plaque deposits narrow artery walls leading to the heart and blood flow.
  • Hypertensive Heart Disease is a heart condition caused by high blood pressure which includes heart failure, thickening of heart muscles, coronary artery disease and other conditions

What are the different types of cardiac surgeries or cardiovascular & thoracic surgeries that we perform at Continental Hospitals?

Cardiac surgery at Continental hospitals is performed using life-saving procedures, advanced surgical techniques, and treatment methods. Our cardiac surgeons have mastered innovative surgical methods, such as minimally invasive cardiac surgery and complex correction of congenital heart disease.

The Cardiac Rehabilitation Program at Continental Hospitals helps in the quick recovery of patients, who have undergone cardiac surgeries or procedures.

Some of the different types of cardiac surgeries or cardiovascular and thoracic surgeries that we offer to patients at Continental Hospitals are:

  • Angiography

It is a test to takes detailed pictures of the arteries inside the brain, heart, and kidneys of a person by using X-RAYS and a dye.

  • Angioplasty

It is also known as Percutaneous coronary intervention (PCI), is a non-surgical procedure which uses a catheter (thin flexible tube) to insert a stent or balloon to open narrowed arteries that supply blood to the heart

  • Cardiac Pacemaker

It is a small battery-operated device consisting of a generator and wires that help the heart beat in a regular rhythm. It helps the heart beat rhythmically when the heart’s natural heartbeat rhythm is erratic.

  • Defibrillator

The device is for patients, who have an irregular, fast heartbeat. It is programmed by an electrophysiologist, a cardiac physician who specializes in heart rhythms.

  • ICD (Implantable Cardioverter Defibrillator)

It is a device that can detect fast heartbeats and give a lifesaving shock to correct the heart’s rhythm. ICD treats abnormal heart rhythms which are sometimes associated with a heart attack.

  • Thrombolysis

It involves the administration of drugs (“clot busters”) to dissolve blood clots that have suddenly blocked the major arteries or veins of the heart and pose potentially serious or life-threatening implications.

  • Cardiac Stem Cells Therapy

It involves the administration of mesenchymal stem cells harvested from human umbilical cord tissue to patients suffering from heart failure.

Other innovative ways are being researched to transplant laboratory-generated heart stem cells back to the heart by using bioengineered tissue patches.

  • Coronary artery bypass graft

It is a procedure to treat coronary artery disease in which a piece of a healthy blood vessel or graft from any part of the patient’s body is used to bypass the blocked portion of the coronary artery. Read more

  • Left ventricular assist device implant (LVAD)

It is a battery-operated, mechanical pump that is implanted in patients with heart failure. It helps the left ventricle of the heart pump blood out of the ventricle to the aorta and then to the rest of the body. It is used for patients having end-stage heart failure. Read more

  • Heart and lung transplant

It is the surgical procedure in which the heart and lungs are simultaneously replaced with the donor’s heart and lungs. It is usually carried out in patients with end-stage cardiac and pulmonary disease.

  • Heart valve repair and replacement

Heart valve surgery is performed to repair or replace a valve in the heart that is not functioning properly because of valvular heart disease. Surgical valve repairs usually involve the mitral valve or tricuspid valve of the heart. Heart valve replacement occurs when the heart valve cannot be repaired. Heart valves are replaced with new mechanical or biological valves.

  • Complex correction of congenital heart disease

There are several complex forms of congenital heart diseases, which require correction by surgery. For Example, Truncus arteriosus- a complex form of a congenital heart defect in which both the aorta and the pulmonary artery are connected to the right ventricle. Another example is the tetralogy of Fallot- not enough blood can reach the lungs to get oxygen, and oxygen-poor blood flows to the body. Read more

  • Re-operative cardiac surgery

It is a repeat or redo heart surgery of people, who have already had previous heart surgeries. It helps the heart of a patient beat more efficiently and greatly improves the patient’s life.

  • Minimally invasive cardiac surgery

It is a surgical procedure that involves a variety of operations performed through incisions that are substantially smaller and less traumatic than the standard sternotomy (splitting of the entire breastbone). Read more

Our Doctors

Continental Hospitals in Hyderabad are one of the few facilities in India that offers this comprehensive program. To do so, it has assembled a team of surgeons, transplant specialists, cardiologists, intensivists, anesthetists, heart transplant co-coordinators, nurses, care managers, physiotherapists, dietitians, and other paramedical and support staff to make it one of the frontrunners for heart transplants in India. Their heart transplant specialists are the very best in Hyderabad and the country, being extremely qualified, experienced and skilled at their trade. They stay abreast of the latest by regular training and collaboration with co-surgeons across the globe. The entire team is determined and dedicated and will accompany you on this journey to a renewed lease of life. Their involvement stays from diagnosis through surgery and the stay in the hospital and after recovery to manage your care at every stage. They educate the patient and the family about the entire process, the dos, and don'ts and share the emotional aspect of the journey. The team is supported by a robust infrastructure to handle all the varied needs of this department. Together they make Continental Hospitals the best hospital in Hyderabad for heart transplant surgery in Hyderabad.

Dr Ashutosh Kumar

MBBS, MD(General Medicine), DM (Cardiology), FACC, FHRS, FESC, FSCAI,PDDC, CCDS, CEPS

Sr. Consultant, Cardiology & Electrophysiology

Dr Meeraji Rao Dandangi

MBBS, MD (Gen Medicine), DM (Cardiology), FACC, FSCAI

Senior Consultant Interventional Cardiologist

Dr Pradeep Rachakonda

MBBS, MS (General Surgery), MRCS, MCH (CTVS)

Sr. Consultant Cardiothoracic Surgeon

Dr Abhishek Mohanty

MBBS, MD (Gen Medicine), DM (Cardiology)

Consultant Interventional Cardiologist

Dr John Doe
Dr Madhusudhana Rao

MBBS, MS(General Surgery), MCh( CTVS)

Consultant

We are with you in your journey to better health

A consultation with our panel of doctors, specialists and surgeons will help you determine what kind of services you may need to help diagnose and treat your condition. If you or someone in your family or friend’s circle are facing any health issues, please get in touch with us, we are here for you.

 

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