27 of Kol's 1st 38 heart recipients survived follow-up period: Study
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Kolkata: In a first-of-its-kind initiative, a group of doctors conducted a follow-up on 38 heart recipients, who underwent transplantation of the organ in Kolkata between 2018 and 2023.
The survey conducted by these doctors show that 27 of these 38 patients, who underwent heart transplantation till Oct, 2023, were alive at the time of the follow-up. The data was collected from seven participating hospitals, where the transplants took place.
The patients were in the age group of 12 to 58 years, 28 (73.6%) recipients being male and 10 (23.4%) female. Three were paediatric. According to the survey, out of the 38 heart transplant cases, 33 recipients were discharged from the hospitals where they underwent the surgeries.
During the follow-up period, five patients died due to infective complications and one passed away because of organ rejection. Heart transplantation made its debut in Bengal only in May, 2018, at a private hospital.
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Data compiled shows a 30-day mortality rate of 13.2%, with five out of the 38 recipients attributed to low cardiac output syndrome, possibly stemming from post-operative primary graft dysfunction (PGD.)
Infective complications were noted in 11 recipients (28.9%).
The article titled 'Heart Transplant in West Bengal: Insights from a Collective Experience of Multiple Centers in an Indian State', published in the Indian Journal of Transplantation, also pointed out challenges such as postoperative primary graft dysfunction (PGD) and infections, which can be addressed with continued efforts, gaining further experience, and infrastructure development.
Doctors Debasis Das, Nilanjan Dutta, Shubhadeep Das of Narayana Superspeciality Hospital, Howrah, Pradeep Narayan, Ayan Kar, Mrinalendu Das, Lalit Kapoor of RN Tagore Hospital, Kunal Sarkar and Soumyajit Ghosh of Medica Superspeciality Hospital, Subhendu Sekhar Mahapatra of IPGMER, Plaban Mukherjee and Subrata Dey of Medical College Kolkata, Tamashis Mukherjee of Apollo, along with Kayapanda Mandana and Tapas RayChaudhury of Fortis, came together to piece together the data.
The first successful heart transplant from a brain-dead donor in India was conducted in 1994 at AIIMS, followed shortly by Madras Medical Mission Hospital, Chennai. "Despite the delayed start in West Bengal, the programme has witnessed significant growth. Currently, West Bengal has seven accredited centres for heart transplantation," said the authors.
Among the seven hospitals with heart transplant facilities in the state, two are state-run facilities where the procedure is done for free. "This development marks a milestone in the region's healthcare, providing hope to patients with end-stage heart failure. Challenges such as postoperative PGD and infections persist but are expected to be addressed with continued efforts, gaining further experience, and infrastructure development," the article reads.
The authors also acknowledged the contributions of Amitabha Chattopadhyay, Munna Das, Sanjiban Ghosh, Jayita Nandy Das, Manish Kumar Sharma, Rangan Koley, and Shivani Gajpal of Narayana Superspeciality Hospital, Howrah.
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