by Editorial Staff and Contributors
This is surgery to remove a severely diseased and failing heart. It is replaced with a healthy heart from a deceased donor.
Reasons for Procedure TOP
A heart transplant is done if you have:
Possible Complications TOP
Problems from the procedure are rare, but all procedures have some risk. Your doctor will review potential problems, like:
More than 80% of heart transplant patients live for at least one year after surgery. Most return to normal activities, including work and exercise.
People over 60 years old are at increased risk of complications. Some factors that may increase the risk of complications include:
Be sure to discuss these risks with your doctor before the procedure.
What to Expect TOP
Prior to Procedure
There is a shortage of donors, so you may be on a transplant list for some time. You may need to carry a cell phone with you at all times. This is to allow the transplant team to reach you if a donor heart becomes available.
You may need to stay in the hospital for monitoring. You may need to be on continuous IV medications to help stabilize the function of your diseased heart. Some may need to have a mechanical pump called a ventricular assist device (VAD). The device will help to stabilize your heart while you are waiting for a transplant.
Before the procedure:
Before the surgery, your doctor will likely do the following:
General anesthesia will be used. You will be asleep during the procedure.
Description of the Procedure TOP
The doctor will cut through the skin and breastbone. The chest will be opened and you will be connected to a heart-lung machine. This machine takes over the functions of the heart and lungs during surgery. Your heart will be removed. The donor heart will be prepared and sewn into place in your chest. Next, the blood vessels will be connected. After this, the blood will start to flow and warm the heart.
The new heart may begin beating on its own, or you may be given an electrical shock to get your heart started. For safety, you will also have a temporary pacemaker attached to the heart to help the heart beat stay regular. After the doctor is sure that the heart is beating fine, the blood will be rewarmed. The heart-lung machine will be disconnected. Next, temporary tubes may be placed in the chest cavity to drain any blood that has collected. The chest will be closed with stainless steel wires. Lastly, the skin will be closed with absorbable sutures.
Immediately After Procedure TOP
You will be closely monitored in the intensive care unit (ICU) with the help of some/all of the following:
You will also have your vital signs monitored.
How Long Will It Take? TOP
Will It Hurt? TOP
Anesthesia will prevent pain during surgery. Pain and discomfort after the procedure can be managed with medications.
Average Hospital Stay TOP
This procedure is done in a hospital setting. The usual length of stay is at least 2 weeks. Your may need to stay longer if you shows signs of rejecting the new heart or have other problems.
Post-procedure Care TOP
At the Hospital
While you are recovering at the hospital, you will need to:
Your doctor may need to take a biopsy of your heart routinely and additionally as needed if you:
When you return home, do the following to help ensure a smooth recovery:
Call Your Doctor TOP
It is important for you to monitor your recovery after you leave the hospital. Alert your doctor to any problems right away. If any of the following occur, call your doctor:
If you think you have an emergency, call for emergency medical services right away .
Scientific Registry of Transplant Recipients
Heart and Stroke Foundation of Canada
Explore heart transplant. National Heart, Lung, and Blood Institute website. Available at:
...(Click grey area to select URL)
Updated January 3, 2012. Accessed September 30, 2014.
Heart transplant. American Heart Association website. Available at:
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Updated September 9, 2014. Accessed September 30, 2014.
Last reviewed September 2016 by Michael Woods, MD
Last Updated: 9/30/2014
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