Total Artificial Hearts in India : Learn about Ventricular Assist Devices

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What are Ventricular Assist Devices (VADs)?

A ventricular assist device (VAD) is a mechanical pump which is used to support heart function and blood flow in people with weakened hearts. This device takes blood from a lower chamber of the heart and helps to pump it to the vital organs of the body, just as a healthy heart would.

A VAD helps to support your heart:

  • While you’re waiting for a heart transplant.
  • During or after surgery, until your heart recovers.
  • If you are not eligible for a heart transplant.

A VAD has several basic parts including a small tube that carries blood out of your heart into a pump and another tube carrying a blood from the pump to your blood vessels, delivering the blood into your body. It has a power source which is connected to a control unit to monitor the functions of the VAD. It provides warnings if the power is low or the device isn’t working properly.

In the past, most VADs were used for people who had end-stage heart failure, but now they can also help people who have early stages of heart failure.

What are Total Artificial Hearts (TAHs)?

A total artificial heart (TAH) is a device that replaces the two lower chambers of the heart that may be not working due to end-stage heart failure.

You may need a TAH for one of the two reasons:

  • To keep you alive while you are waiting for a heart transplant
  • If you are not eligible for a heart transplant, but you have end-stage heart failure in both the ventricles.

The TAH is attached to your atria, heart’s upper chambers. In between the TAH and the atria, the mechanical valves work like the heart’s own valves by controlling the flow of blood in the heart.

A TAH usually extends life for months beyond what is expected with the end-stage heart failure. It also helped to improve your quality of life.

Check out the Patient Testimonial, where the patient shares about their success stories from treatments through India Cardiac Surgery Consultants.

Who is a Candidate for the surgery to place VADs or TAHs?

VADs and TAHs are considered medically appropriate only if one of the following criteria are met:

  1. Implantable Ventricular Assist Devices:
    • In individuals with end-stage heart failure and all of the following:
      • Diagnosis of severe congestive heart failure and approved heart transplant candidate.
      • Have an imminent risk of dying before the donor heart procurement.
      • Meets the selection criteria for heart transplant.
      • Receives an optimal medical management.
    • Presence of other clinically significant conditions, including but not limited to, respiratory failure, irreversible hepatic or renal dysfunction, systemic infection, unresolved recent malignancy limiting your life expectancy, coagulation disorders and uncorrected valvular disease.
  2. Total Artificial Hearts:
    • Patient with imminent risk of death due to biventricular failure with no other appropriate medical or surgical options.
    • Meets the selection criteria or an approved candidate for the heart transplant.
    • Absence of the coagulation disorders.
    • Has sufficient space in the chest area vacated by the natural ventricles to support the TAH.
    • Is ineligible for other univentricular or biventricular devices.
    • Survival is not expected until a donor heart can be obtained.
    • Absence of other clinically significant conditions, including but not limited to, respiratory failure, systematic function, renal dysfunction and unresolved recent malignancy limiting the life expectancy.

What to expect Before VAD or TAH?

  • You’ll spend some time in the hospital preparing for the surgery and will learn about the VAD and how to live with it.
  • You’ll spend some time with your surgeon, cardiologist and nurses to make sure you have all the information regarding VAD.
  • You can ask to see what the VAD looks like and how it will be attached inside your body.
  • Your doctor will ensure that your body is strong enough for the surgery, if you are weak, then you may need extra nutrition through a feeding tube before surgery.
  • Before the surgery, you’ll be given medicine to make you sleep, so that you don’t feel any pain.
  • You’ll be asked to undergo the following tests before surgery:
    • Chest X-ray
    • Blood tests
    • Echocardiography
    • Electrocardiogram (EKG)

What to expect During VAD and TAH?

Total Artificial Hearts-VAD

DurationVentricular Assist Device (VAD)Total Artificial Hearts (TAH)
During Surgery
  • VAD surgery takes between 4 to 6 hours and the process is similar to other types of open heart surgery.
  • Team of VAD Surgery includes surgeons, surgical nurses, anesthesiologists and perfusionists.
  • Your vital signs like blood pressure, heartbeat, breathing and oxygen level will be checked throughout the surgery.
  • A breathing tube will be guided down your throat into your lungs and this tube will be connected to a ventilator.
  • The surgeon will make a cut down the center of your chest, then cut your breastbone and open the rib cage to reach your heart.
  • You’ll be given medicine to stop your heart during surgery. A heart-lung bypass machine will keep the oxygen-rich blood moving your body during the surgery.
  • Once the surgeon has properly attached the VAD, the heart-lung machine is switched off and the VAD starts working by taking over the pumping function of your heart.
  • TAH surgery is complex and may take about 5 to 9 hours. It is performed by experts and assistants.
  • Team for TAH surgery includes the surgeons, surgical nurses, anesthesiologists, perfusionists and engineers who are trained to assemble TAH and ensure that it is working properly.
  • During the surgery, the anesthesiologist checks your blood pressure, heartbeat, oxygen levels and breathing.
  • A breathing tube is connected to the ventilator and it is placed in the windpipe through your throat.
  • You’ll be given medicine during the surgery and a heart-lung machine will help the oxygen-rich blood moving your body throughout the surgery.
  • The surgeon’s will remove the ventricles of your heart and attach the TAH to the upper chambers of the heart.
  • When everything is properly attached, the heart-lung bypass machine is switched off and the TAH starts pumping.

What to expect After VAD or TAH?

The recovery time after the ventricular assist device (VAD) or total artificial hearts (TAH) depends a lot on your condition before the surgery. If you had a severe heart disease before getting VAD or TAH, then your body might be weak and the lungs may not work well, so you’ll be on a ventilator. You may need to continue getting the nutrition through a feeding tube.

When you wake up after the surgery, you’ll be in the intensive care unit (ICU) and an intravenous tube will provide you with fluid and nutrition. You’ll have a tube in your bladder to drain urine and tubes to drain blood and fluid from your chest and heart.

Depending on how quickly your body recovers, you’ll move to a regular hospital room. Nurses having experience with VADs or TAHs will take care of you. Physical therapists will help you gain your strength through a gradual increase in activity. Also, you’ll learn about how to take care of your VAD or TAH device at home.

You’ll need to have regular checkups with your health care team to check your progress and ensure that the VAD or TAH is working well. Your healthcare team will explain you the warning signs you need to watch for. You’ll be recommended cardiac rehabilitation, which is a medically supervised program that helps improving healthcare and well-being of people with heart problems. Rehab program includes exercises, education on heart healthy living and counselling to reduce stress and help you return to a more active life.

You’ll need to take medicines to prevent the dangerous blood clots and infections. Make sure to take all your medicines as per the prescription and report any side effects to your doctor.

Getting a VAD or TAH may cause anxiety, fear and stress. All these feelings are normal for someone going through a major heart surgery. Talk about it with your healthcare team. Having the support of your family and friends can also help relieve stress and anxiety as they play an important role in caring for you after you go home.

Why Choose India for the Surgery to Place Ventricular Assist Devices or Total Artificial Hearts?

India has become a Mecca for various heart disease treatments and surgeries for the international patients coming from all across the globe. The availability of advance healthcare technologies provided by the healthcare facilities in India is at par with that provided by any advanced country, thereby delivering similar or even better results. Indian hospitals adhere to the highest quality standards of healthcare by competent cardiologists with priority treatment. Most of the surgeons in India have been graduated from the top medical schools and universities in the US, Europe and Australia. They have vast overseas experience and training from the best hospitals. The international patients can therefore avail to the finest certified medical professionals, board certified doctors and physicians from the JCI-JCAHO accredited, government registered and approved private medical healthcare facilities in India for the surgery to place the ventricular assist device or affordable total artificial heart surgery in India. Thus, Affordable VAD cost in India are offered to the overseas patients seeking a cost-effective treatment in India.
Choosing low cost Ventricular Assist Device Surgery in India with us is beneficial for global patients. The international patients prefer us while choosing the low cost Artificial Heart Transplant in India.

 

Who Are The Top 20 Surgeons Performing VAD or TAH Surgery In India?

  • DR. BASHI V VELAYUDHAN
  • DR. Z S MEHARWAL
  • DR. RAJU VYAS
  • DR. MANOJ P NAIR
  • DR. Y K MISHRA
  • DR. BHABA NANDA DAS
  • DR. T. S. KLER
  • DR. PAWAN ZUTSHI
  • DR. RITESH SANGURI
  • DR. SATBIR SINGH
  • DR. SHILPI MOHAN
  • DR. NARESH TREHAN
  • DR. RAJESH SHARMA
  • DR. ALI ZAMIR KHAN
  • DR. NANDKISHORE KAPADIA
  • DR. AMAR NATH GHOSH
  • DR. SARAJIT KUMAR DAS
  • DR. K M MANDANA
  • DR. MADAN KUMAR K
  • DR. K R BALAKRISNAN

 

Which Are The Top 20 Hospitals Where VAD or TAH Surgery Is Performed?

  • FORTIS MEMORIAL RESEARCH INSTITUTE GURGAON.
  • INDRAPRASTHA APOLLO HOSPITAL, NEW DELHI
  • BLK SUPER SPECIALITY HOSPITAL, NEW DELHI
  • GLOBAL HOSPITAL,CHENNAI
  • SHARDA HOSPITAL,DELHI
  • PARAS HOSPITAL, GURGAON
  • NANAVATI HOSPITAL,MUMBAI
  • MANIPAL HOSPITAL,BANGALORE
  • THE WOCKHARDT HEART INSTITUTE, MUMBAI
  • NARAYANA HOSPITAL,BANGALORE.
  • RUBY HALL, PUNE
  • FORTIS HOSPITAL, KOLKATA
  • FORTIS ESCORTS HOSPITAL, NEW DELHI
  • ASIAN HEART INSTITUTE,MUMBAI
  • APOLLO HOSPITAL,CHENNAI
  • FORTIS ESCORTS HOSPITAL, BANGALORE
  • ARTEMIS HOSPITAL, GURGAON
  • MEDANTA HOSPITAL, NEW DELHI
  • MAX SUPER SPCIALITY HOSPITAL, NEW DELHI
  • CONTINENTAL INSTITUTE OF CARDIOVASCULAR SCIENCES, HYDERABAD

 

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