New Delhi: In his first operation in India, doctors in private hospitals in the city reuse the heart, transplanted to patients who were declared killed the brain after surgery, to save the lives of others.
The new recipient, a 54-year-old man from Delhi, is stable and recover well, said Dr.
Subhash Gupta, chairman of the center of the heart and biliary at Max Saket.
“Only a few such transplants that have previously been done globally, are not in India,” he added.
The first organ recipient has suffered intracranial bleeding, or bleeding in the brain, almost a week after transplantation.
He was declared killed by the brain in October 5.
All but 1 of 21 patients rejecting the ‘used heart’ for the Transplantation OP according to the Max Hospital doctor, the heart belongs to a 44-year-old woman from Gurgaon who has a history of seizures and hypertension, which is declared dead by the brain after Bloody brain in Fortis Gurgaon on September 21.
The female family agreed to donate her heart, heart, kidneys and cornea.
The 44-year-old heart was transplanted into a 53-year-old man from Gurgaon who suffered from liver failure.
The recipient recovered well after transplant, but he also developed the same problem with his donor – a bloody brain (intracranial bleeding) on ​​September 28, after about a week of liver transplant operations.
After accepting the opinion of the neurologist, he was declared dead on October 5 at around 9:40 a.m.
The 53-year-old family insisted that his organs, including the liver, were used to save other lives, following the organization of the organ and national network transplant (notto) was informed.
Warning sent with no hospitals that have liver transplant facilities about the availability of previously transplanted hearts, said Dr.
Gupta, added that no hospital was advanced to receive the heart used again.
“We at the Max Saket Hospital have around 21 patients waiting for the heart in the same blood group.
We contacted them all.
All, but one patient, refused to get a transplant from this heart,” said the transplant coordinator at Max Saket.
There is a high risk of rejection in transplants involving the heart that has been used before.
Dr.
Gupta said this was explained in detail to the new recipient, a 54-year-old man from Delhi, but he still wanted to continue.
Some precautions were taken to assess the risk of rejection before transplantation, the doctor said.
“First, we examined the quality of the heart by looking at the test of liver function.
What surprised us, this test was still original.
Then, we confirmed that there was no rest in immunosuppressive therapy after intracranial bleeding while the recipient’s donor has now changed in the ventilator in the ICU.
The coordinator confirmed That there is no rejection episode after intracranial transplants and bleeding are not related to the transplant process.
This information is obtained carefully studying post-transplant medical records, “he said.
The liver transplant using the transplanted organs was previously carried out on October 6 according to doctors, the first few days were very important for the success of the overall transplant.
“Fortunately, as soon as the operation, the patient comes from a ventilator with fully intact mental abilities.
The liver enzyme does run very high, but with the infusion of n-acetyl cysteine, we can control it.
There is a possibility that severe rejection episodes can occur in the next few days.
We are ready to deal with it because all lines and tubes have been removed so that infection does not turn on with the increasing immunosuppressive therapy, “Dr.
Gupta said.
The doctor said his team would also look for intracranial bleeding.
“Blood pressure will remain under control and no antiplatelet agent to be used,” he said.
The success of this transplant opens another door for those who are waiting for organ transplants, the doctor said.
Many organ recipients died because of cardiovascular events after transplantation and not from failed grafts.
While every effort must be made to prevent this, if such events occur, these organs can be used again, Dr.
Gupta added.