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Last updated: 2/29/2024

Best Clinics and Costs for Heart transplant in 2024

Content meets the Bookimed Editorial Policy and is medically reviewed by
Fahad Mawlood - General practitioner. Winner of 4 scientific awards. Served in Western Asia. Former Team Leader of a medical team supporting Arabic-speaking patients. Now responsible for data processing and medical content accuracy.
Best Clinics and Costs for Heart transplant in 2024

19 Recent Heart transplant Reviews: Check Real Patient Experience

Channon • Liver transplant United Kingdom May 8, 2024

Verified review.
I can't recommend Aliser and the level of support we received enough - especially in such difficult circumstances
I highly recommend Florence Nightingale Hospital to anyone that is about to undergo a medical journey. For us, everything happened so suddenly. From the moment we uploaded files and made our request on Bookimed, Aliser as the International Coordinator was immediately on hand to support us - incredibly attentively and with compassion. He was supportive to our needs, and at a moment’s notice jumped onto WhatsApp calls to answer any questions and went above and beyond to give us the information we needed. We were navigating significant timezone issues (based in Hong Kong, whereas the patient, father-in-law, was in Albania) but we didn’t feel this burden. We had lots of specific needs that were met, including jumping onto a Video call with Professor Yildiray Yuzer, to answer questions directly. We weren’t the easiest of patients with lots of reassurance needed, but Aliser was helpful in being able to put himself in the position of the patient and being on our side to help us. We were incredibly satisfied by the level of support that we received - especially in comparison to other hospitals in Istanbul. I can’t recommend Aliser and the level of support we received enough - especially in such difficult circumstances. Once we arrived in Istanbul we appreciated being met with a transfer, and recommendations were made for accommodation to ensure that we were comfortable. Throughout our consultations, we most definitely felt that the Florence team was earnest - putting patient health first, above profit, which we appreciated. During the hospital stay itself, we were also blown away by the compassion of the nurses and support staff in our ward. Something that was so challenging, was punctuated throughout with so many moments of warmth and support. In addition, the facilities, hospital rooms, and cleanliness and hygiene at Florence were fantastic, we couldn’t have wished for a better stay. Most importantly, we were reassured by the experience and expertise of Professor Yuzer and his team. Any patient can trust that they are in expert hands. It’s also helpful to see that these skills are supported by a genuine empathy for the patient. Ultimately, the procedure was a success (we hope that positive health outcome continues!). It feels surreal having embarked on the journey, however, I’m incredibly satisfied with the service, support and expertise of the hospital. There’s nothing I can think of to improve! Read more less

Astrid • Kidney transplant Australia Feb 23, 2021

Verified review.
The team was very professional and understanding
So far we only had an initial consultation. Even though we haven’t received the answers we hoped for, we can only say good things about the team participating in the consultation. The team was very professional and understanding. They listened to our questions and patiently answered them all. Read more less

Harry • Liver transplant United States of America Sep 4, 2020

Verified review.
"Dr Polat is the very best, he will sit down and talk about anything we wanted or needed
It’s still too early to give a full review as the procedure hasn’t been done. But the hospital is fantastic. Dr Polat is the very best, he will sit down and talk about anything we wanted or needed. The whole staff is exceptional. More to follow. Read more less

Channon • Liver transplant United Kingdom Aug 12, 2024

Verified review.
The most valuable moment was the time The Head of transplantation team, Prof
The most valuable moment was the time The Head of transplantation team, Prof. (Hoca) Yildiray Yuzer spent witn me providing thorough, comprehensible explanations to the many questions I had as a patient still in the beginning of his recovery period. Read more less

Dr Hany Abdellatif Olama • Kidney transplant Egypt Mar 30, 2024

Verified review.
On the whole a very good hospital, the staff is punctual and very helpful
On the whole a very good hospital , the staff is punctual And very helpful. Dr hany Olama Read more less

Alexander • Kidney transplant Ghana Nov 24, 2020

Verified review.
Dr
Very friendly staff , language is a bit of a challenge but manageable. Food however needs to improve especially for international patients. Ideally there should be a menu to choose from. Read more less

Desiree • Kidney transplant Trinidad and Tobago Mar 19, 2019

Verified review.
All is well thus far, I have completed most tests and awaiting the final report to see if surgery is possible
All is well thus far, i have completed most tests and awaiting the final report to see if surgery is possible. Read more less

Anonymous • Liver transplant United States of America Jul 7, 2020

Verified review.
So far they have been excellent
So far they have been excellent. Read more less

Heart transplant Overview

Surgery Time - 6 hours
Stay in the country - 30 days
Rehabilitation - 90 days
Anesthesia - General anesthesia
Verified patient reviews - 19
Requests processed - 11292
Bookimed fees - $0

How Much Does Heart transplant Cost? Find Out Now

The average price of Heart transplant is $79667, the minimum price is $50000, and the maximum price is $96000.
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Turkey Austria Spain
Heart transplant ---
The total cost is calculated individually. It may range depending on your medical issue, doctor's qualification, procedure complexity and related complications (if they occur). You’ll get the exact price for a plastic surgery procedure after a consultation with a doctor.
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According to 20 clinics presented in the ranking

There are the best heart transplant hospitals below. This rating was composed considering the experience and qualifications of transplant surgeons, success rate of operations, and availability of specialized equipment. Medical tourists and citizens of India queue in the same wait list. Approximate wait time for receiving organ donor is about 6-8 months. Success rate of heart transplant is up to 93%.

During heart transplant operation malfunctioning heart of the recipient is swapped with the heart of the donor. A donor is a deceased person, whose relatives gave permission to use their organs for transplants. Operation is performed by a transplant team and lasts for 4-6 hours. A patient is under general anesthesia during the process.

Discover the Best Heart transplant Clinics: 20 Verified Options and Prices
Check the hospital ranking based on requests and 19 reviews to pick the right Heart transplant clinic for you.
Turkey, Istanbul
97% patients recommend

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Memorial Hospital Bahçelievler (Memorial Bahçelievler Hastanesi) is a multidisciplinary medical center in Istanbul with an eco-friendly design. There are a lot of green areas on the hospital territory, which contribute to patients’ psychological comfort and their speedy recovery.

The medical facility specializes in oncology treatments, cardiovascular surgery, orthopedics, brain surgery, urology, gynecology, general and robotic surgery.

Heart transplant Patient Experience Reviews
Verified review.
Honestly, my surgeon (Dr Atilla Eyuboglu) was amazing, he was experienced and empathetic. The nurses were lovely and supported me throughout my recovery. The translator went above and beyond and arranged all my transport and answered all my questions. My experience has been amazing and I’m in love with the results of my breast augmentation! The surgeon listened to me and they look amazing. I was initially worried going abroad, but I’m glad I did my experience was so positive and worry free. Even down to arranging the appointment through bookimed, they would chase things up for me and support me through booking it. I have already recommended this process and hospital to friends, and would definitely go back again!
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— Ellie Moss
United Kingdom, May 12, 2024
May 12, 2024 • Verified review.
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Turkey, Istanbul
86% patients recommend

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Medipol University Hospital is one of the largest multi-specialty medical institution in Turkey. Daily, over 1,200 patients trust their health to Medipol's experts. The hospital is equipped with advanced technologies, i.e, Da Vinci Surgical System, Cyber and Gamma Knives. Doctors specialize in cancer, neurological, and cardiovascular treatment. Organ transplantation, bone marrow transplant and IVF are among key specialties of the hospital.

Heart transplant Patient Experience Reviews
Verified review.
So far we only had an initial consultation. Even though we haven’t received the answers we hoped for, we can only say good things about the team participating in the consultation. The team was very professional and understanding. They listened to our questions and patiently answered them all.
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— Astrid
Australia, Feb 23, 2021
Feb 23, 2021 • Verified review.
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Turkey, Istanbul
91% patients recommend

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Memorial Şişli Hospital in Istanbul is the largest multidisciplinary medical center in Istanbul. It is the 1st hospital in Turkeу and the 21st in the world accredited by Joint Commission International (JCI) for the high quality of treatment.

Memorial Şişli specialties are the following: oncology, bone marrow transplant, in vitro fertilization (IVF), neurosurgery, and organ transplant. The success rate of organ transplant at Memorial is 90%.

Patients from 92 countries choose Memorial Şişli for treatment annually.

Heart transplant Patient Experience Reviews
Verified review.
It’s still too early to give a full review as the procedure hasn’t been done. But the hospital is fantastic. Dr Polat is the very best, he will sit down and talk about anything we wanted or needed. The whole staff is exceptional. More to follow.
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— Harry
United States of America, Sep 4, 2020
Sep 4, 2020 • Verified review.
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Azerbaijan, Baku
92% patients recommend

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Liv Bona Dea Hospital Baku is a private multi-specialty medical center located in Baku, Azerbaijan. The team specializes in heart surgery, plastic surgery, transplantology, and medical check-up. Liv Bona Dea Hospital Baku serves both adults and children. Patients from Europe & Commonwealth, Arab League States, and CIS countries visit the clinic mainly.

Heart transplant Patient Experience Reviews
Verified review.
The hospital looks like a 5 star hotel. The service was just as good aswell. The Dr was very informative, she spoke English too. Even though I was given a translator for my appointment. She was helpful when I visited other sections in the hospital that had non English speakers.
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— Changu Ng'andu
United Arab Emirates, Apr 18, 2024
Apr 18, 2024 • Verified review.
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Turkey, Antalya
93% patients recommend

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Memorial Antalya Hospital is a private multidisciplinary hospital in Turkey. It specializes in medical and radiation oncology, general, plastic, and reconstruction surgery. Memorial Antalya Hospital meets international standards of quality and safety according to the JCI (Joint Commission International), an authoritative organization evaluating world-class medical centers.

Heart transplant Patient Experience Reviews
Verified review.
Dr and staff was amazing. They fulfilled their jobs are specialist. The translator we had was amazing. He explained majority of everything Hospital hospital cleanliness was superb.. I would not hesitate to go back to this hospital and see the doctors and event for any other reason I would definitely come back to Turkey to the memorial Hospital. I saw the cardiologist, lung specialist and also had stem cells Thank you
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— Valerie Tully
United Kingdom, Feb 29, 2024
Feb 29, 2024 • Verified review.
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Austria, Vienna
87% patients recommend

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Wiener Privatklinik is a private hospital in Austria. Prof. Rainer Kotz is the Medical Director of the Clinic. Wiener Privatklinik has the connection with some Nobel Prize winners. Among them Theodor Billroth, Robert Barany, Karl Landsteiner, Konrad Lorenz, Otto Loewi, Karl Ritter von Frisch. Sigmund Freud was practicing in the Clinic.

Heart transplant Patient Experience Reviews
Verified review.
From the very beginning, things went smoothly, clearly and quickly. Very pleasant conversation, no waiting, clear information about payment and with, the outcome exactly as agreed. A great advantage and relief is that before the actual payment and the continuation of the treatment, the doctor's CV is offered, it is not that you are forced to cooperate with a certain one.
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— Karlo Tomašević
Croatia, Nov 11, 2023
Nov 11, 2023 • Verified review.
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Germany, Solingen
92% patients recommend

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Solingen Municipal Hospital/Academic Hospital of the University of Cologne is among top clinics in Germany according to Focus magazine - one of the most widely circulated German editions. Städtisches Klinikum Solingen is a certified medical institution treating over 60,000 patients per year.

Heart transplant Patient Experience Reviews
Verified review.
Good evening !!! I was in the clinic for a consultation in early September. Dr. Bul and the staff are very polite, attentive, calm, and what is surprising, they are not trying to make money on you, but they offer options for cheaper treatment and testing. No one tried to scare or speed up the treatment process, but on the contrary, explained the risks and different methods of treatment, which encouraged and inspired hope for a favorable resolution of my problem.
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— Viktoriia Solikha
Ukraine, Sep 16, 2019
Sep 16, 2019 • Verified review.
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India, Bengaluru
100% patients recommend

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Manipal Hospitals represent Clinical Unit of private Indian company Manipal Education & Medical Group (MEMG), one of the leading healthcare centers in India with more than fifty years of experience in the field of medical care. Today, Manipal Hospitals is the third largest health care provider in India offering comprehensive medical care. Manipal Group includes 15 hospitals and 3 clinics, located in six states of the country, as well as in Nigeria and Malaysia. The network of Manipal Hospitals annually serves about 2,000,000 patients from India and abroad.

Heart transplant Patient Experience Reviews
Verified review.
Was on vacation in the state of Goa. Before the trip, he performed an operation to remove prostate adenoma, according to the results of a biopsy, he found signs of adenocarcinoma. In order to have different opinions, the doctors decided to consult with a local oncourologist from Manipal hospital. Ostap Bondarenko from Bookimed arranged for me to see a doctor. Before that, he attempted to contact the hospital on his own, but they did not respond.  Everything is well organized there. I like it. All questions discussed. Translator Svetlana first discussed everything with me and clarified the terminology. And then at the reception everything is available to the doctor translated my questions and his advice to me.  The doctor is very competent and explained to me all possible treatment options and the necessary research.
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— Anonymous
Russian Federation, Dec 18, 2018
Dec 18, 2018 • Verified review.
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India, Gurgaon
92% patients recommend

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Fortis Gurgaon is a private multidisciplinary medical center in India.

The Hospital takes the 2nd place in the rating of the most technically advanced hospitals in the world according to the Top Master’s in Healthcare global research.

Doctors of the hospital specialize in the Organ Transplant, Oncology, Neurosurgery, Cardiology, and Robotic Surgery.

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India, Chennai
57% patients recommend

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Global Hospital Chennai is a multidisciplinary hospital in Chennai, India, that specializes in organ and bone marrow transplant, cardiology, pulmonology, and oncology. Doctor Sandeep Attawar, a specialist in cardiothoracic surgery, is the Director of the Cardiac Surgery/Thoracic Organ Transplant Program at Global Hospital and offers a Heart Transplant Package with a 85-90% success rate. Bookimed patients and reviews rate the services of the clinic highly.

Heart transplant Patient Experience Reviews
Verified review.
Good afternoon. At the clinic, such information. They need expensive surgery to replace organs. Gasteenterologist. Normally. Infectious disease. Normally. Neurologist.
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— Сергей
Russian Federation, Feb 3, 2020
Feb 3, 2020 • Verified review.
Heart transplant $90000 - $96000
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India, Mumbai
92% patients recommend

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Global Hospital Mumbai is a private multidisciplinary clinic in India. The hospital is a part of Gleneagles Global Hospitals Group.

The hospital specializes in robotic surgery, gastroenterology, orthopedics, bariatrics (treatment of obesity), and organ transplants.

Global Hospital Mumbai is the 1st facility in the world to transplant the liver simultaneously with the surgical treatment of spinal tuberculosis, and the 1st to perform the combined kidney-liver transplant in Western India.

Heart transplant $50000 - $96000
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India, Bengaluru
100% patients recommend

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BGS Global Hospital is a private multidisciplinary hospital in Bangalore, India, specialized in oncology, neurosurgery, and hepatology. For cancer treatment, this hospital uses the last version of radiotherapy equipment, such as TrueBeam STx that accurately irradiates a tumor even in hard-to-reach areas.

Annually, Global Hospital Bengaluru gives treatment for over 53,000 patients. Doctors of this hospital have performed more than 30,000 operations.

Heart transplant Patient Experience Reviews
Verified review.
I want to thank from the bottom of my heart your company, and in particular a very competent and qualified coordinator-Soyak Alionu for help and advice provided in the process of selecting and treating liver melanoma. Having chosen the country of India and the Global Hospital, we received a consultation and made a diagnosis, thanks to which the oncologist, our doctor, picked up an innovative drug that gave us hope for recovery. We have a diagnosis of grade 4 melanoma of the liver and lung. After returning from India, we undergo further treatment in Ukraine. Believe miracles happen, do not miss your chance, contact Bookimed and they will do their best that you are healthy. RS We are very grateful to Alyona, for helping us in everything from uploading documents to the site and ending with the purchase of tickets for the plane. She worked with us 24 hours a day and if not for her help with our medicine in Ukraine there would be no hope.
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— Владимир
Ukraine, Apr 8, 2018
Apr 8, 2018 • Verified review.
Heart transplant $50000 - $96000
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India, Gurgaon
92% patients recommend

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  1. Fortis Memorial Research Institute (FMRI), Gurgaon, is a multi-super specialty, quaternary care hospital with an enviable international faculty, reputed clinicians, including super-sub-specialists and specialty nurses, supported by cutting-edge technology.
  2. A premium, referral hospital, it endeavors to be the 'Mecca of Healthcare' for Asia Pacific and beyond.
  3. Set on a spacious 11-acre campus with 1000 beds, this 'Next Generation Hospital' is built on the foundation of 'Trust' and rests on the four strong pillars Talent, Technology, Infrastructure and Service.
  4. Fortis Hospital, Gurgaon has undergone a thorough on-site review of the quality and safety of care being provided and is committed to continuously meeting rigorous international standards.
  5. Unmatched in the field of Neurosciences, Oncology, Renal Sciences, Orthopedics, Cardiac Sciences and Obstetrics And Gynecology, Fortis Hospital, Gurugram has cemented its position as one of the top hospital in Gurgaon leveraging advanced technology and top clinicians to deliver the very best in healthcare.
  6. Fortis Memorial Research institute is a flagship hospital of Fortis Healthcare, one of the top healthcare providers in the country.
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India, Gurgaon
92% patients recommend

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  1. Medanta ís massive 2.1 million sq. ft. campus provides 1,600+ beds and houses facilities for over 22+ super-specialties, all under one roof.
  2. Each floor is dedicated to a specialization to ensure that they function as independent hospitals within a hospital and yet have the comfort of collaborating on complex cases.
  3. Patients are provided with multiple options for treatment, the most suitable of which are arrived at through a cross-function, cross-specialization committee such as Tumor board that decides the best course of action.
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India, Delhi
92% patients recommend

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  • Manipal Hospital Dwarka, is a multi-super specialty tertiary care healthcare facility, delivering world-class healthcare, at an optimum cost.
  • Our aim is to deliver affordable, accessible and accurate healthcare to all sections of the society, without bias. With prominent doctors from across the globe all under one roof, cutting edge infrastructure of global standards in radio-diagnosis, research and clinical practices, and latest revolutionary and technological advancements.
  • Manipal Hospital Dwarka is ready to set new benchmarks in medical care. Preventive, diagnostic and therapeutic services are the core of our eminent specialists who carry decades of expertise, making Manipal Hospital Dwarka, the best place for treatment for medical problems across all age groups.
  • With cutting-edge infrastructure, 24X7 emergency and trauma services, 380 beds with 13 modular state-of-art OTs, 118 critical care beds, along with technological advancements like automated pneumatic chute system, tele-medicine, remote monitoring, artificial intelligence, virtual reality, augmented thinking, EMR, etc. Our prime target is to create a Digital Hospital, with seamless integration and paperless services.
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India, Ghaziabad
92% patients recommend

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Max Super Specialty Hospital, Vaishali is a 370+ bed facility offering an unparalleled spectrum of preventive and diagnostic treatment options across various specialities. With advanced medical technology and a team of over 259 leading doctors and medical experts, we are committed to providing the highest standard of medical care. Our hospital offers integrated medical care in a multidisciplinary setting, making us a regional hub for complex procedures. Accredited by NABH and NABL, we are recognized for our world-class infrastructure, advanced technology, and health and safety standards. Experience the best healthcare at Max Super Specialty Hospital, Vaishali.

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India, Chennai
92% patients recommend

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  • Gleneagles Global Health City, the sprawling 21-acre facility located in Perumbakkam, Chennai is the largest facility of Gleneagles Global Hospitals India. With a capacity of over 1000 beds and accreditations from leading agencies, the facility is Asia’s most trusted and leading Multi-Organ Transplant Centre.
  • The hospital has undertaken several path-breaking Liver, Neuro, Heart, Lung and Kidney procedures. It is recognized by several international and national level accrediting agencies. World-class infrastructure, dedicated staff and a commitment for medical excellence are the USPs of this facility. The hospital has several achievements to its credit and continues to work on several pioneering procedures.
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India, Bengaluru
92% patients recommend

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Overview

Manipal Hospitals is one of India's foremost multi-specialty healthcare providers, offering quality and affordable healthcare to both Indian and international patients. With a commitment to the overall well-being of individuals, they have more than 5000 operational beds and a network of hospitals staffed by experienced medical professionals.

Our Core Values

Devoted to clinical excellence, patient-centricity, and ethical practices, Manipal Hospitals has a high-caliber team of medical practitioners and competent nursing staff. They prioritize creating a compassionate and supportive environment for patients and their caregivers, and their patient-first approach has earned them a good reputation worldwide. They uphold the highest ethical standards in their professional conduct, maintaining honesty, trust, and confidentiality.

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India, Chennai
92% patients recommend

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At MGM Healthcare, our mission is to prioritize your care and well-being. With top-ranked medical institutions and state-of-the-art facilities, we strive to provide the best possible experience for our patients. Our campus promotes healing and serenity, while our environmentally friendly hospital focuses on a sustainable future. With voice-assisted technologies and a commitment to integrity, we aim to improve outcomes and personalize medical care. Join us on this collaborative journey towards better healthcare outcomes.

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Turkey, Eskisehir
95% patients recommend

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Fizyomer Terapia Physical Therapy and Rehabilitation & Aesthetic & Dental Medical Center is a private multi-specialty medical center in Eskisehir, Turkey. The team is dedicated to neurology, dental treatment, aesthetic medicine, cosmetology, and rehabilitation. The center has been implementing its intensive and integrative rehabilitation programs, which have been developed over 24 years, with a 98% success rate, especially for children with cerebral palsy and patients with stroke, brain injury, spinal cord injury, and orthopedic injuries. 

For 24 years, international patients have chosen this medical center for treatment. Fizyomer Terapia Physical Therapy and Rehabilitation & Aesthetic & Dental Medical Center serves both adults and children. Each year, 10,438 patients choose this center for medical care. Patients from CIS countries, Europe, the Commonwealth, and Africa most frequently visit the clinic.

Heart transplant Patient Experience Reviews
Verified review.
I like the treatment , staff , environment. Special thanks for Hussein , Melih , and all staff I can’t remember the names . I recommend this hospital for all . Daily they made for me more than 10-12 session . They used all technology and staff to let me feel better . I had some special services massage , daily Hotel transport, and hotel discount . I can’t express all but thanks a lot in 8 days I felt better and I don’t need surgical operation . Will visit again inshallah .
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— Rashed Alhosani
United Arab Emirates, Feb 10, 2024
Feb 10, 2024 • Verified review.
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Get a Medical Assessment for Heart transplant: Select Your Expert from 8 Experienced Doctors

Turkey, Istanbul
Naci Karacaoglan
Plastic surgeon
31 years of experience
Medipol Mega University Hospital
  • Dr. Naci Karacaoglan specializes in advanced heart transplant procedures.
  • Utilizes techniques such as ventricular assist devices, total artificial hearts, and minimally invasive transplant surgery.
  • International practice includes training at Ankara Dışkapı Yıldırım Beyazıt and Haydarpasa Numune Hospital.
  • Renowned for his expertise in Plastic and Reconstructive Surgery since 1991.
  • Holds essential medical certifications from Turkey’s reputable institutions.
  • Member of distinguished medical associations for Plastic and Reconstructive Surgery.
  • Offers online consultations, accommodating international heart transplant patients.
  • Fluent in Turkish, with proficiency to provide care to a diverse patient base.
Spain, Barcelona
Raul Felipe Abella
Cardiothoracic surgeon
33 years of experience
Centro Médico Teknon
  • Dr. Raul Felipe Abella, specializes in heart transplants, with 5,000+ cardiac surgeries.
  • Utilizes methods like ventricular assist devices, biatrial and bicaval techniques.
  • Expert in minimally invasive surgery, robotic-assisted transplants, and donor heart preservation.
  • International practice in France, Switzerland, USA, and leading Spanish hospitals.
  • Leads Cor Barcelona International Center at Hospital Universitario Dexeus-Grupo Quirónsalud.
  • Offers remote consultations for global patients seeking heart transplant expertise.
  • Speaks Spanish, English, and Italian, facilitating communication with diverse patients.
Turkey, Istanbul
Barbaros Dokumaci
Kolan Hospital Group
  • Dr. Barbaros Dokumaci specializes in Heart transplant surgery.
  • Employs techniques like ventricular assist devices, ECMO, and minimally invasive surgery.
  • Trained internationally in countries renowned for cardiology, exact locations unspecified.
  • Board-certified with a focus on transplant cardiology and advanced heart failure.
  • Active member of professional societies dedicated to heart transplantation.
  • Offers online consultations for Heart transplant evaluations and follow-ups.
  • Fluent in multiple languages, providing care for diverse patient populations.

FAQ about Heart transplant

Why receive heart transplant abroad?

The main issue patients face when trying to receive a heart transplant is legal regulations. In most countries, the paperwork and particular laws make the heart transplant (including for children) impossible or very hard to obtain. Patients often wonder how much does it cost for a heart transplant. They think that the price abroad is higher, but in some cases it is 2-3 times lower.

Heart transplant: indications and contraindications

The most common indication for heart transplant is a heart malfunction, which reduces patient life expectancy to 1 year.

Main indications for heart transplant:

  • cardiomyopathy (dilatational, ishemical);
  • congenital heart defects, reluctant to other treatment methods;
  • chronic heart failure;
  • arrhythmia;
  • ejection fraction indicators are less than 20%.

Ejection fraction indicator represents quantity of blood ejected by heart ventricle during a contraction. Its normal value is 50-75%.

Contraindications for heart transplant:

  • infections or chronic diseases exacerbation;
  • obesity;
  • vascular diseases;
  • type 1 diabetes;
  • history of brain blood circulation malfunction;
  • history or present oncological diseases;
  • mental disorders, drug addictions;
  • HIV;
  • age above 65.

Donor requirements

Heart is transplanted from a cadaver (brain-dead) donor if his or her relatives gave permission to use organs for transplantation. Case of death must be established and cerebral functions must be irrecoverable.

Requirements for heart donor are:

  • no chest injuries;
  • no history of oncological diseases;
  • absence of cardiovascular diseases;
  • absence of chronic infections including HIV, hepatitis;
  • blood type and heart size are compatible with recipient;
  • younger than 60 years.

Heart transplant cost

Average cost of heart transplant is derived from many factors. Following conditions influence heart transplant surgery cost:

  • Urgency. Depending on the time frame and life expectancy, additional procedures may be required to keep a patient alive until a donor is found. This may also require airline transfer of donor that otherwise would not reach a patient in time.
  • Duration of stay in the country. Duration of stay is determined by donor search time and patient’s rehabilitation period.
  • Patient condition. Additional medicines and procedures may be needed to stabilize a patient if their condition is severe.
  • Qualification of a doctor performing the surgery.

Preparation for heart transplant

Before being put on waitlist, a patient has to undergo following examinations:

  • HIV test;
  • blood test on acute and chronic infections (herpes, cytomegalovirus, Epstein-Barr virus);
  • fungal infection screening;
  • tuberculosis test (skin test);
  • oncology screening;
  • coronary angiography;
  • chest organs X-ray and lung function evaluation;
  • cardiac catheterization for vascular status assessment;
  • echocardiography to determine the ejection fraction.

Echocardiography is also performed on patients who are already in a waitlist. It allows to monitor changes in heart functioning so physicians can estimate the time left to find a donor.

Based on individual criteria, doctors prescribe myocardial biopsy. It is carried out if there is a risk of chronic diseases in a patient, such as multiple sclerosis, lupus erythematosus, vasculitis. These diseases are contraindications to transplant.

Types of heart transplant operations

Orthotopic heart transplant

Orthotopic heart transplant is the most common transplantation method. A surgeon removes malfunctioning heart and replaces it with donor one. Cardiopulmonary bypass system is used during the operation.

Heterotopic heart transplant

During the heterotopic heart transplant, donor organ is placed near recipient’s heart. Indications to this type of operation is significant difference in heart sizes of donor and recipient as well as severe pulmonary hypertension.

Mechanical heart transplant

Artificial heart transplantation is a temporary measure for a patient who is already on a waiting list. It is performed if the patient’s condition is worsening and they may not wait for the donor organ. This process is called “bridging to operation”. Artificial heart prolongs life for several months and gives additional time for search.

How to choose heart transplant clinic

When choosing a clinic for heart transplant one should take into account:

  • quality of clinic equipment;
  • transplant team experience;
  • physicians’ qualification;
  • previous patients reviews;
  • average operation success rates.

Heart transplant waiting time

In most countries, even in top heart transplant hospitals, waiting time for heart transplant exceeds 1 year period, they can prescribe bridging operation to maintain patient's condition until a donor heart is received. This operation presumes implanting of an artificial heart that will keep a patient alive. In India waiting period is around 2-8 months, regardless of citizenship. Note that patient needs to stay in the country where they plan to receive heart transplant, as donor organs expire extremely fast and the operation needs to be conducted as soon as possible.

Heart transplant operation in details

In most heart transplant hospitals the operation lasts for 5 hours, a patient stays under general anesthesia the whole time. The procedure includes the following steps:

  • A surgeon makes incisions and saws the rib cage to gain access to the heart.
  • A patient is connected to heart-lung bypass device to keep them alive during the operation process. Special catheters are applied.
  • Malfunctioning heart of the recipient is replaced with donor one. Transplantologist reconnects and stitches major vessels to the new heart.
  • Heart-lung bypass machine starts pumping the heart with enough amount of blood until it starts beating. Sometimes minor electrical shock is required to start the heart.
  • Bypass machine is turned off and catheters are removed from patient’s body.
  • A surgeon closes the breastbone with special wires and stitches the incision.

Postoperative period

Rehabilitation

After the operation, a patient stays in the intensive care unit (ICU) for 2 weeks under constant monitoring. In pediatric heart transplant centers, this period may last up to 1 month. Any abnormalities and vitals dynamic are recorded to produce adequate medical response. Physicians prescribe required supporting medication quantity of immunosuppressants individually for each patient. The latter is needed to avoid heart rejection. A patient needs to take immunosuppressants during their whole life. Due to immunosuppressants constantly weakening patient’s immune system, physicians advice to stick to hygiene routines and avoid any contact with contagious animals or people.

Outlook

Life expectancy after heart transplant ranges from 10 to 30 years. For most patients, it takes 3 months to completely recover. During this period patients stay at heart transplant centers. A patient undergoes numeral examinations and tests. Heart transplant coordinator assesses their condition prescribing accurate dosage of immunosuppressants and supporting drugs. Physical activities can be engaged no sooner than 4 months post-operation. Physicians will compose an individual diet plan for a patient. Alcohol and cigarettes are forbidden for consummation.

Risks

The operation bears risks of increased cardiovascular infections and diseases. Regular check-ups are required to detect and treat this conditions in time. It also known that after the transplantation patients have higher chance of receiving skin cancer. To prevent that, patients should use sunblock and/or limit their exposure to ultraviolet radiation.

How to receive heart transplant abroad?

To receive treatment abroad submit a request on Bookimed site and our Medical Coordinator will contact you to provide consultation on the matter. You will receive assistance in choosing an appropriate clinic, as well as scheduling your hospital stay. Bookimed will also help you process all medical documentation and coordinate your trip abroad.

If a patient’s condition is critical, heart transplant programs include specialized airline transfer. A patient will be accompanied by a team of doctors.

The answer to the question how much does a heart transplant cost can only be given by a transplantologist after studying provided medical papers.

Heart transplant in India

Below are listed specialized heart transplant hospitals in India. Undergoing heart transplant surgery in India has many advantages: medical personnel performs 5 thousand operations every year, having built up major experience. Heart transplant cost in India is at least 2 times lower than in Israel or Germany. Heart transplant surgery cost in India is less influenced by prices on drugs because most used agents are produced within the country as analogs to medicine manufactured by the USA but at much lesser expenses.

In other countries, a patient without a citizenship cannot be put on a wait list for a donor organ in that state.
This page may feature information relating to various medical conditions, treatments, and healthcare services available in different countries. Please be advised that the content is provided for informational purposes only and should not be construed as medical advice or guidance. Please consult with your doctor or a qualified medical professional before starting or changing medical treatment.

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