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Heart Transplant and Heart Failure

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Heart Transplant

The first heart transplant was performed in 1967. Heart transplant surgery and other transplant procedures have come a long way since then. WMCHealth Physicians offers the latest medical interventions available for heart failure patients. Our program recently completed its 300th heart transplant. (Read more.)

In addition to heart transplant, our multidisciplinary team also offers mechanical circulatory support care, including extracorporeal membrane oxygenation (ECMO) and ventricular assist devices (VAD). Learn more.

Pioneering Heart Transplant Procedures

The surgeons at Westchester Medical Center’s Department of Cardiothoracic Surgery have decades of experience in heart transplant surgery and advanced techniques of the surgical management of heart failure. The program is consistently ranked in the top fifteen percent of programs in the world in terms of volume, and is one of the top heart transplant programs in the world.

Our surgical team has been known for taking on complex cases requiring multiple organ transplants (heart and kidney, heart and liver, etc.). The multispecialty team includes cardiothoracic surgeons, cardiologists, and many more specialists. (View the ‘Heart Transplant Team’ tab above to learn more.)

The Heart Transplant Program at Westchester Medical Center is on the cutting edge of many national and international research programs, giving patients access to congestive heart failure treatments, medications and heart transplant procedures years before they are available to the general public. Our heart transplant specialists at Westchester Medical Center also treat heart failure patients with implantable, artificial devices known as Left Ventricular Assist Devices.

We also enroll patients in clinical trials. Currently, we are participating in the Donors After Circulatory Death Heart Trial.

Innovative “Heart-In-a-Box” Technology

Westchester Medical Center is the first hospital* in New York State to transplant a heart with the assistance of “Heart-In-a-Box,” a portable medical technology that keeps the donor heart pumping blood after its procurement.

This medical technology – the TransMedics® Organ Care System™ – keeps the heart beating and perfused with warm blood throughout transport. Circulating blood through the heart makes the organ less likely to sustain damage during procurement. This also permits the transportation of donor hearts over longer distances, thus increasing the number of available donor hearts. Learn more about the use of this innovative heart transplant technology at Westchester Medical Center.

*According to TransMedics

About Heart Transplants and Heart Disease

Heart transplantation is not a cure for heart disease. It is a surgical treatment that is reserved only for patients with the most advanced stage of heart disease who can no longer be managed effectively with maximal medical therapy. Cardiomyopathy, or disease of the heart muscle, affects more than four million people in the United States, with approximately 500,000 new cases diagnosed each year. Some of the most common causes of heart disease include coronary artery disease, infiltrative disease, ischemia, diabetes, uncontrolled high blood pressure, alcohol, myocarditis and idiopathic dilated cardiomyopathy.

Read our organ transplant FAQs.

Watch the emotional first meeting between one of our heart transplant recipients and her donor’s family at Westchester Medical Center.


Heart Transplant Team

Each Heart Transplant Surgeon at WMCHealth Physicians is committed to providing the best medical care possible. During your evaluation for a heart transplant, you will meet many of the healthcare professionals on this team.

Heart Transplant Surgeons
Doctors who perform transplant operations of the heart. During your evaluation, the transplant surgeon will answer any questions or concerns you may have. Your surgeon will discuss your disease and the options that may be available to you, including transplantation.

Transplant Cardiologists
Doctors who manage patients diagnosed with heart failure before and after transplant. They are skilled in the management of immunosuppressant drugs and their complications.

Transplant Coordinators
Nurse practitioners who will coordinate your care. The coordinators are responsible for maintaining close contact with you and your family doctor. The coordinators are available to answer any questions about your medical care before and after your operation.

Transplant Clerks
Schedule your tests and procedures.

Social Workers
Assist patients and their families with financial information and emotional support. Social workers will be available to help you when you are hospitalized and in the outpatient areas.

Anesthesiologists
Doctors who give you medication to keep you unconscious and who monitor your vital signs (heartbeat, blood pressure and breathing) and infectious disease during your transplant operation.

Psychiatrists
Work with patients and families on assessing their ability to cope with life before and after transplant, ruling out problems that might preclude transplant.


Diagnostic Testing

The evaluation and treatment of a person with heart disease involves a variety of tests and procedures. Many of these tests and procedures may be repeated during your evaluation before heart transplant surgery and again after your heart transplant. If you have any questions about these tests before heart transplant, ask your doctor, nurse practitioner or any other member of the transplant team.

Pre-Surgical Testing

Some of the tests before heart transplant include:

CT Scan (Computed Tomography)
An X-ray technique for detecting masses or abnormalities in the body. A narrow X-ray beam directed by a computer revolves around you on an examination table. This computer compiles the information into a picture of your body.

Ultrasound
A test that uses high-frequency sound waves to identify your organs and any abnormalities that might not show up on a normal X-ray. This test can also detect how fast your blood flows through a blood vessel.

Heart Biopsy
A procedure to obtain a small piece of heart tissue through a small hollow tube placed through a neck vein.

Colonoscopy
A procedure to examine the large intestine or colon to detect and diagnose abnormalities such as erosions, enlarged veins, inflammation, hemorrhage (internal bleeding) or hemorrhoids.

Pulmonary Function Tests (PFTs)
Tests to evaluate how well you breathe during and after your surgery.

Echocardiogram (ECHO)
A test of your heart to show the position and motion of the walls of your heart and the function of your heart valves. It is also used to diagnose congenital heart disease, valvular disease, cardiomyopathy (enlarged heart muscle) and pericardial effusions (accumulation of fluid around the heart).

Electrocardiogram (EKG or ECG)
A test of your heart's electrical activity to show the heart's rate and rhythm.

Chest X-ray
An x-ray picture of your chest to evaluate your heart and lungs.

Blood Tests
Tests to determine your blood type, and kidney and liver function.

Metabolic Stress Test (MV02)
A modified exercise test that gives your health providers information about your heart functions during times of exercise. You will be closely monitored throughout the testing process.

Heart Catheterization
A test in which a dye is injected into a neck/leg vein through a small hollow tube. Pictures are taken to detect any blockage or abnormalities in the heart's blood vessels.

Additional Testing

Additional testing that may be required as part of your pre-transplant evaluation include:

  • Lab work - blood and urine
  • Left heart catheterization
  • Right heart catheterization
  • Heart biopsy as indicated
  • Echocardiogram
  • Metabolic stress test
  • Chest X-ray
  • CT Scan of your chest
  • Pulmonary function test
  • Carotid doppler
  • Peripheral doppler
  • Abdominal ultrasound
  • Osteoporosis work-up (labs) and bone density as warranted
  • Dental evaluation
  • Tuberculosis (PPD) testing
  • Females - gynecological exam, mammogram
  • Ophthalmology exam
  • Nutrition assessment as warranted
  • Colonoscopy


Transplant Waiting List

Select link below for more information:

Waiting List

After your tests are completed, the results are discussed by the heart transplant surgeons, transplant cardiologists, psychiatrists, nursing coordinators and other consultants who, based on these results, will decide whether you are a suitable candidate for a heart transplant.

Your transplant coordinator will notify you and your referring doctor about the transplant team's decision. Keep in mind that even after your initial tests are completed, additional testing may be required by the selection committee.

Your transplant coordinator will inform you when you have been placed on the national waiting list for a new heart, and you will receive a letter confirming your placement on the list.

Because there is no way to predict when a donor heart will become available, you may be on the waiting list for many months. When a heart becomes available, many factors determine if that heart is right for you. The two main factors are that the donor must have a compatible blood type with you, and the donor must be about the same weight as you.

We realize that the time spent waiting for your transplant can be very stressful. This is normal. But there are things you can do to help alleviate some of this stress and deal with your fears. Talk about your concerns with your family or supportive friends. Plan to attend the heart failure support group that meets regularly at Westchester Medical Center. If you have any questions, call your transplant coordinator. If necessary, the transplant social worker may be able to recommend a counselor or put you in touch with a support group of people who have undergone what you are going through. All of these people can help you to redirect your energy toward more positive, enjoyable activities. Always remember that you are not alone. The transplant team is available to help you throughout the waiting period.

Matching a Donor

To match a donor organ, including a heart, with a recipient, you both must have the same blood type. Your blood type will be determined during your evaluation. People have one of four blood types: A, B, AB and O. The most common blood is type O, followed by type A, then type B and the rarest blood type, AB. Most patients waiting on the transplant list have type O blood. Even though type AB is the most rare, there are fewer patients waiting for hearts in this blood type.

It is also important that the new heart be a good fit. This is determined by the height and weight of you and the donor, and by the size of the heart.

Traveling Before Surgery

Some people think they must stay close to home while they are waiting for their transplant. This is not always the case. If you are traveling before a heart transplant surgery, you should first check with your primary physician. Before your trip, you must call the transplant office at 914.493.7632 and notify your transplant coordinator of your plans. We will need to know:

  • The dates of your departure and return
  • Where you are traveling
  • Cell phone and telephone numbers where you can be reached, especially if you will be out of signal range on your pager.

Remember, if a donor heart becomes available during your trip, you will need to travel to Westchester from your location. Therefore, to avoid delay, you should make transportation arrangements to get to Westchester from your destination before you leave for your trip. Making these arrangements in advance will save time if you are called about a donor heart during your trip and is your responsibility.

Notification of Heart Availability

24-Hour Communication

You will be able to order a pager when you are placed on the waiting list. The pager is free of charge and will take about six to eight weeks to arrive. When your pager arrives, it is important that you call your transplant coordinator with the information about your pager as soon as possible.

It is very important that you can be reached at all times once you have been placed on the transplant waiting list. For this reason, you must provide us with a list of telephone numbers of relatives, friends and neighbors who will know where you can be reached if you are not at home. We also will need your work number, if applicable. These phone numbers will help us locate you until your pager arrives or if you cannot be reached at your home telephone number.

Having a pager will give you more freedom away from the telephone. There is no need to wear the pager when you are at home. We will always call your home telephone number first. If there is no answer, we will assume you are out and have your pager with you. We will then page you.

If your pager beeps, you must call the transplant office at 914.493.7632 within 15 to 20 minutes of being paged. This telephone is answered 24 hours a day. If we cannot reach you within a reasonable amount of time, it may be necessary to contact another potential recipient from the list. Inform the operator in the transplant office that you are waiting for a heart transplant and that you have just been paged.

Sometimes your pager may be activated falsely by outside signals. Since there is no way for you to know if this is a false page, you must always call the transplant office when you are paged. The transplant coordinator will give you instructions on what to do next.

Heart Availability

When a donor heart becomes available for you, your transplant coordinator will call you and tell you what you need to do. Although you may be anxious, things will go smoothly if you have prepared in advance and are fully equipped with heart transplant info.

If you are not in the hospital waiting for your transplant, when you are called you will need to get to Westchester Medical Center as quickly as possible. Your transplant coordinator will tell you what time you must arrive at the Medical Center. This time frame will determine whether you can drive or fly by commercial airline or air charter service. Remember, time is very important, so make sure your travel plans are in order and available to you and your family members.

Getting the call that a heart is available for you produces mixed emotions. There are many things that need to be done in a short time. However, here is some info on things that you can do in advance to prepare yourself while you are waiting for a heart transplant.

  • If you live far from the Westchester Medical Center, check flight arrangements. Begin to check flight schedules, airfares and reservation requirements for both commercial and charter air companies.
  • Make a list of what you plan to bring with you. Storage space is limited in your patient room, so review your list carefully and bring only the essentials.
  • Keep a suitcase packed and ready to go. Pack toiletries and basic personal items, along with pajamas, a robe and slippers. Your family can keep your additional clothing with them.
  • Make sure that your family or whoever is accompanying you to the Medical Center is prepared to leave at a moment's notice.
  • Keep your medications together. You will need to bring them with you to the Medical Center.


Contact Us

For additional information please call 914.493.8793.  

Our Address

Westchester Medical Center
Ambulatory Care Pavilion
100 Woods Road
Valhalla, NY 10595

Directions

By Car

By Train

Westchester Medical Center is served by Metro North's Harlem line via two stations:

  • White Plains - Bus transfer options available
  • Hawthorne - Taxi service available

For train fare and schedule information, call 1-800-METRO-INFO or go to www.mta.info

By Bus

There are three bus lines (Westchester Bee Line) you can take to our campus.

Please call 914.813.7777 for bus routes and fares.

Campus Map

The Westchester Medical Center campus includes the Maria Fareri Children's Hospital and the Behavioral Health Center.

Spielvogel, David
Spielvogel, David
Chief, Cardiothoracic Surgery
Professor of Surgery
Cardiothoracic Surgery
Aggarwal-Gupta, Chhaya
Advanced Heart Failure
Cardiology
Cardiovascular Disease
Dhand, Abhay
Dhand, Abhay
Director, Transplant Infectious Diseases
Associate Professor of Medicine
Infectious Disease
Gamboa, Martha C.
Psychiatry
Transplant
Gass, Alan L.
Gass, Alan L.
Medical Director, Cardiac Transplantationand Mechanical Circulatory Support
Advanced Heart Failure
Cardiology
Cardiovascular Disease
Goldberg, Joshua Benjamin
Goldberg, Joshua Benjamin
Attending, Cardiac Surgeon
Cardiothoracic Surgery
Kai, Masashi
Kai, Masashi
Director, Heart Transplantation and Mechanical Circulatory Support
Assistant Professor of Surgery
Cardiothoracic Surgery
Lanier, Gregg M.
Lanier, Gregg M.
Director, Pulmonary Hypertension Program, Associate Director, Heart Failure Service
Advanced Heart Failure
Cardiology
Cardiovascular Disease
Levine, Elliot (Avi)
Advanced Heart Failure
Cardiology
Cardiovascular Disease
Malekan, Ramin
Malekan, Ramin
Associate Professor of Surgery
Cardiothoracic Surgery
Thoracic Surgery
Nog, Rajat
Nog, Rajat
Transplant Infectious Disease Physician
Infectious Disease
Ohira, Suguru
Ohira, Suguru
Attending PhysicianClinical Assistant Professor of Surgery, New York Medical College
Cardiothoracic Surgery
Pan, Stephen
Pan, Stephen
Attending Physician
Advanced Heart Failure and Cardiac Transplantation
Advanced Heart Failure
Cardiology
Cardiovascular Disease
Knoll, Bettina
Infectious Disease