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Procedures

Heart Transplant
Assessment
Angiogram
Heart Biopsy
Echo Cardiograph
Electro Cardiograph
Muga Scan
Blood Tests
X-Rays
Lvad
24hr Urine Collection
Ecmo
24hr Blood Pressure Tape
Rejection
Subcutaneous Injection
Exercise Test
How The Heart Works


Micky's Heart Transplant
Operation
9th March 1999

Micky Byrne
Surgeon Professor Sir Magdi Yacoub meeting Micky just before his operation

Micky Byrne
Receiving his general anaesthetic

Micky Byrne
Being opened up ready for the operation
Micky Byrne
His damaged heart being removed

Micky Byrne
Micky's and the donor heart
side by side

Micky Byrne
Donor heart ready to be transplanted
Micky Byrne
Aorta being sewn in place
Micky Byrne
Micky's new heart beating and working perfectly
Micky Byrne
Intensive care unit shortly after operation
Micky Byrne
Micky 24hrs after heart transplant sleeping like a baby in ICU
Micky Byrne
Chatting with Professor Magdi Yacoub 48hrs after the
Julie Byrne
Micky's wife Julie thanks the Professor with a kiss

How is a heart transplant performed?

After the patient is asleep, a device called the Swan-Ganz catheter is often inserted into the jugular vein (in the neck) and threaded to the pulmonary artery (which goes from the heart to the lungs). The catheter is used to measure heart function and pressures in the heart and lungs. It is also used to give medication and to measure the oxygen levels in the blood. A breathing tube (endotracheal tube) will be inserted into the mouth and down the windpipe (trachea) to maintain an airway.

An incision is made through the chest and breastbone (sternum), and the ribs are separated. A heart-lung machine will take over the functions of the heart and lungs, freeing the heart from its normal function so that it can be removed. Some heart muscle is left during extraction to act as a support for the new heart as it is sewn into place.

When the new heart is positioned and the blood vessels are reattached, the heart incision is closed, the heart is restarted and blood circulation and oxygen are restored. The warmth of the blood should “wake up” the heart and stimulate it to start beating. If this does not occur, it may be necessary to start the heart using an electric shock (defibrillation). Once the blood is flowing through the new heart normally and without any leaks, the heart-lung machine is disconnected and the chest incision is closed.

Please Don't Try This At Home

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