Heart transplant

First Pediatric Heart Transplant at Military Institute of Cardio-Thoracic Sciences – Punekar News

Pune, June 4, 2022: Military Institute of Cardio-Thoracic Sciences (AICTS), Pune is a 600-bed super specialty hospital of the Indian Armed Forces. It is one of the oldest cardio-thoracic surgery centers in India. AICTS reached a major milestone in its glorious history when its first pediatric heart transplant was performed on May 30, 2022.

Mohd Fardeen Mansoori, the 14-year-old teenage son of an army veteran, first presented to hospital about two years ago with complaints of shortness of breath and fatigue. Doctors and parents suspected him of having an infection that would be cured within a week or two. Fate had other plans and no one suspected that the child was a carrier of a serious heart disease causing his heart to expand and reduce efficiency.

The child had no improvement and would have repeated admissions to cardiac intensive care with episodes of heart failure. There was no treatment to cure the disease and seeing life slowly slipping away from this young boy, he was accepted for a heart transplant about 18 months ago and included in the list of pending recipients.

The challenge in this particular case was to find a heart that matched this young boy in terms of weight and blood type and was within a reasonable distance to allow safe recovery and transplantation. After a long wait of more than a year, the fateful day arrived on May 30, 22, when the AICTS team received an alert for a probable heart donor, a 14-year-old girl with a head following a road accident. It corresponded to the patient awaiting weight and blood type. Coordination was done with Zonal Transplant Coordinating Center (ZTCC) of Pune District for explantation of donor heart from Sahyadri Hospital, Pune.

The alert was received late at night and the AICTS came into action and the process of evaluating the core for recovery started almost immediately and a tentative time of 10am was set for the same. The AICTS team reached the hospital for recovery and after the liver and kidneys were removed, the heart was removed, packed and transported to the AICTS.

Southern Command HQ Military Police Corps coordinated with Pune Traffic Police to establish a GREEN CORRIDOR for seamless transportation of Donor Heart to AICTS, Pune in just 11 minutes.

At AICTS, the recipient was already in the operating room and the native heart was about to be removed from the patient’s body. Afterwards, the whole team worked at breakneck speed and the heart was transplanted on schedule. However, the works were not finished and only a part had been completed. The surgery was followed by a stormy postoperative course with the patient requiring ECMO (Extra Corporal Membrane Oxygenation) support as the new heart took time to find its rhythm and function. It still takes full multidisciplinary teamwork to restore a healthy childhood to the young boy.

Heart transplantation as a treatment for end-stage heart failure has come a long way from its beginnings in the laboratories of the United States and South Africa since the 1960s. The importance of transplantation is only beginning to be understood and accepted by society. This acceptance leads to an increase in the availability of donors. This acceptance has yet to go beyond social mores and beliefs more broadly.

A successful heart transplant is the culmination of years of training, refining techniques, and smoothing the edges of well-honed protocols. AICTS has successfully begun this arduous journey to make this therapy easily and widely available to its addicted clientele.