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Heart transplantation in Iran

Heart transplant in Iran

Heart transplant in Iran

 The process of connecting the donor heart to the receiver

Treatment of heart disease A heart transplant is an operation that replaces a heart that has failed with a healthy donor heart. Heart transplantation is a treatment that is usually recommended for people who have taken medications or other surgeries but have not recovered. When deciding to have a heart transplant, you must expand your knowledge of the transplantation process, surgery, potential risks and subsequent care.

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Why heart transplant in Iran

Heart transplantation is done when other treatments do not work for heart problems and can lead to heart failure.

In adults, heart failure can be caused by several conditions, including:

  • Cardiac muscle weakness (cardiomyopathy)
  • Coronary Artery Disease
  • Heart disease
  • Congenital defect of the fetus
  • Dangerous abnormal heart rhythms (ventricular arrhythmia)
  • Failure of a previous heart transplant

In children, heart failure is often caused by a congenital heart defect or a heart disease.

Multiple transplant in Iran includes:

  • Heart and Kidney Transplant

This method may work for some people with kidney failure in addition to heart failure.

  • Heart and liver transplant

This method may be for people with specific liver and heart diseases.

  • Heart and lung transplant

Doctors rarely recommend this method for some people with severe lung and heart disease if the condition is not treated with a heart transplant or lung transplant alone.

Heart transplant is not the right treatment for everyone. Some people may not have the proper conditions for transplantation.

When is the donor heart connection not suitable for the patient?

  • Old age and not having the necessary conditions to improve heart transplant surgery
  • Having another medical condition that can affect your life without transplant.
  • High infection
  • Cancer
  • Unwilling to change lifestyle (quitting smoking or avoiding alcohol)

Ventricular assist devices

Using Left ventricular assist device (LVAD) in Iran

For some people who cannot have a heart transplant, another option is the ventricular assist device (VAD). The ventricular assist device is a mechanical pump mounted on the patient's chest to help pump blood from the lower cavities of the heart to other parts of the body.   VADs are usually used as a temporary treatment for people who are waiting for a heart transplant. These devices are used as a long-term treatment for people with heart failure who are not eligible for heart transplant. If VAD does not work properly, doctors use artificial heart as a short-term treatment for patients awaiting transplant.

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Risks of transplantation in Iran

What are the Surgical complications?

heart transplant requires open heart surgery that involves the risk of many complications, including:

  • Bleeding
  • Infection
  • blood clotting
  • heart attack
  • stroke
  • Death

Rejection of heart transplants by the body

The immune system recognizes and attacks the donated heart as an external agent. However, transplant patients are given immunosuppressive drugs. But there is still a 10% chance that the donor heart will be rejected in the first year after the transplant is controlled by the drug.

To determine if your body rejects the new heart, there are frequent heart bypasses to test your heart tissue during the first year after transplant. After this period, their number decreases.

Problem with coronary arteries after heart transplant in Iran

After transplantation, the arterial walls in the heart (coronary arteries) may become thicker and harder, leading to cardiac catheter vasculopathy (CAV). This can make it difficult for the blood to circulate through the heart and cause a heart attack, heart failure, abnormal heart rhythm (arrhythmia) or sudden cardiac death.

doctor may recommend annual tests to monitor coronary arteries for CAV after transplantation.

Side effects of heart transplant medicines in Iran

Immunosuppressant drugs can cause kidney damage and other problems. Other side effects of these drugs may include:

  • Hypertension
  • High Cholesterol
  • Diabetes
  • Osteoporosis


Anti_depressants drugs can also increase the risk of cancer. Taking these medicines can put you at greater risk for skin cancer, lymphoma, and other tumors. Regular screening is essential to diagnose cancer development.

Immunosuppressants Infection

The patient's ability to fight infection decreases. Some heart transplant recipients may become infected after being transplanted to hospital. The risk of infection decreases by passing time.

The process of performing a heart transplant in Iran

Preparation for the transplant is done before the transplant. This may take days to years. That patient is in the queue for the donating heart.

Preparing for the transplant in Iran

After the doctor recommends the transplant to the patient. Must refer to transplant centers. Find out more about transplant coverage at your insurance center first.

When evaluating a heart transplant center, consider the number of heart transplants a center does each year and the recipient's survival rate.

Patient evaluation by Iranian transplant medical team

Evaluation to check if the patient:

  • He has a heart condition that benefits from transplantation.
  • Other treatment options without surgery can be used for the patient.
  • Is the patient's body accountable for transplantation and post-transplant treatment?
  • He is ready to quit if he smokes.
  • Able to continue the medical team program.
  • Mentally, he is able to wait for the donated heart.

 Waiting for the donation member in Iran

Then, if eligible, the patient's name is recorded as a waiting list member. Usually the number of donors is always less than the number of patients and some people may die before a healthy donation heart is found.

During the waiting period for transplantation, even treatment may change several times as the patient's condition changes. For this purpose, the patient is monitored by a medical team.

After finding the heart for the transplant, tests are performed to confirm whether the recipient's heart is appropriate. Including:

  • Type of blood (A, B, AB or O)
  • Number of recipient antibodies
  • Time spent on the waiting list

The heart transplant must be performed within four hours of receiving the organ from the donor so that it can be used. As a result, the hearts are first transported to a transplant center and then to the recipient hospital centers.

Heart transplant surgery in Iran

Cardiac transplant surgery is open heart surgery that takes several hours. If you have had previous heart surgery, the surgery is more complicated and will take longer. Preoperative general anesthesia medications are first administered. The patient is then connected to a heart and lung control device to control blood flow throughout the body.

The surgeon cuts through the patient's breastbone to open the chest.

The surgeon removes the defective heart and replaces the new one. Connects the main arteries to the heart. Electric shock may also be required during this procedure.

After a heart transplant in Iran

You need medication after surgery. They then monitor the patient's condition with the help of a respirator and tubes that discharge the fluid that accumulates around the lung.

After surgery, you will also receive fluids and medications through intravenous (IV) tubes.

After surgery, the patient is transferred to the intensive care unit (ICU).

After a few days you will be transferred to the ward and will be hospitalized for two to three weeks.

The time spent in the ICU and in the hospital, however, may vary.

After being discharged from the hospital, she is also monitored by a post-operative surveillance team. To check any patient's condition.

After the heart transplant, there will be several follow-up steps at the transplant center. Regular tests, including blood tests, echocardiograms, electrocardiograms and cardiac biopsies.

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Medications after heart transplant in Iran

Medications are used to reduce the activity of the immune system to reduce the risk of heart attack. Because the body's immune system most likely never fully adopts the new organ, some of these drugs should be taken for life.

Antidepressants can cause significant side effects. For example, when taking post-transplant medications, such as corticosteroids, you gain weight.

You may have excessive hair or stomach problems.

Some side effects of immunosuppressants may be more noticeable when you first start your medication, but they may decrease over time.

As the immune system activity became diminished, the body becomes more vulnerable to infection. Your doctor may also prescribe antibacterial, antiviral and antifungal medications.

Some medications may increase the risk of hypertension, high cholesterol, cancer, osteoporosis or diabetes.

Over time, the risk of graft rejection decreases. The dose of the medication also changes.

Emotional support

New medical treatments and stress of having a heart transplant may make you tired. Many people who have had a heart transplant feel that way.

Talk to your doctor if you feel stressed or depressed. Link centers often have support groups and other resources to help you manage your situation.

10 common questions about Heart transplant in Iran

1How long can you live with a new heart?
Heart transplant recipient survival rates vary based on a number of factors. A 2014 report by the Organ Procurement and Transplantation Network and the Scientific Registry of Transplant Recipients stated that the overall survival rate in the U.S. is about 88 percent after one year and about 75 percent after five years.
2Do you die during a heart transplant?
It is done when there are no other options left, and the patient will die from heart disease without a donor heart. Transplant surgery is risky, but for these patients, death is certain without a new heart.
3Do heart donors die?
Donors for heart transplants are individuals who may have recently died or become brain dead, which means that although their body is being kept alive by machines, the brain has no sign of life. Many times, these donors died as a result of a car accident, severe head injury, or a gunshot wound
4What is the longest surviving heart transplant patient?
The world's longest-surviving heart transplant patient has died, 33 years after his life-saving operation. John McCafferty was told he had only five years to live when he received the transplant at Harefield Hospital in west London, on 20 October 1982.
5How long is the waiting list for a heart transplant?
How long is the waiting list? Unfortunately, the waiting times for heart transplants are long — often more than six months. Each patient on our waiting list returns for an outpatient visit to our transplant clinic every two to three months, or more frequently if necessary.
6Can a male get a female heart transplant?
For heart transplants, the gender difference was found only among men who received organs donated by females. The study found men who received female hearts were 13% more likely to lose the heart compared to those who got male-donated organs.
7Will Medicare pay for a heart transplant?
Medicare does partially cover heart, lung, kidney, pancreas, intestine, liver transplant, bone marrow, and cornea transplants if you are qualified. ... One of the major benefits of being enrolled in Original Medicare is you utilize any facility or transplant doctor in the nation that accepts assignment.
8Does blood type have to match for heart transplant?
All people fit into one of four blood types -- A, B, AB and O. Everyone is compatible with some blood types but not all of them as follows: People with blood type A are compatible with donor organs (or blood) from a person with type A or O blood. People with blood type B are compatible with blood type B or O.
9Can you live without a heart?
(CNN) While waiting for a human heart transplant, Stan Larkin lived 555 days without the organ at all
10What does a heart transplant feel like?
A heart transplant is surgery in which your diseased heart is replaced with a healthy donor heart. Your doctor did the surgery through a cut (incision) in your chest. You will feel tired and sore for several weeks after surgery. You may have some brief, sharp pains on either side of your chest.

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