How Heart Transplants Work

How Heart Transplant Works

What To Expect Before, During and After a Heart Transplant

Your heart transplant journey may begin with many questions. The heart transplant team at Emory Healthcare will walk you through the entire process.

We will help you understand what to expect from the initial evaluation, the wait-list process, surgery and recovery.

Never in a million years will I be able to repay the donor family. But I have another chance at life. I got a precious gift from them.

- Rachel, registered nurse and heart transplant recipient
 

Before Your Heart Transplant Surgery

Some patients waiting for a heart transplant might need additional support from IV medications or devices to help support the heart and body. These may include a ventricular assist device (VAD) to assist the heart with pumping blood or extracorporeal membrane oxygenation (ECMO), which works as both the heart and lungs and requires care in the ICU (intensive care unit).

What To Expect When You Arrive for Your Transplant Surgery
Preparation for surgery will begin as soon as you arrive at Emory University Hospital. Please come directly to the valet entrance on Clifton Road and head to Admissions on the second floor. You can expect our team to perform several tests, including a chest X-ray and blood tests. Heart transplant surgery preparation can take several hours.

Post-Transplant Surgery Care

After surgery, our team will move you to the cardiovascular intensive care unit (ICU). You can expect to stay here for three to four days.

After your ICU stay, you’ll move to the cardiac surgery floor to recover and get stronger. You can expect to remain on this floor for another three to four days. Deep breathing and coughing will be important immediately after surgery and for several months. Your care team will show you how to do this properly to reduce pain.

While you recover in the hospital, you will meet a post-transplant coordinator. This transplant team member will teach you how to care for your new heart. They will also arrange follow-up care and appointments. You can reach your personal post-transplant coordinator at any time by sending them a message on the MyChart app or calling 855-366-7989 between 8:00 a.m. - 5:00 p.m.

Life After Heart Transplant Surgery

Heart transplant surgery helps many people survive and return to a normal, productive lifestyle. You can expect improved energy and reduced symptoms of heart failure. Our team is ready to work with you to keep you as healthy as possible post-transplant.

Going Home and Post-Transplant Care

After your heart transplant surgery, our goal is to get you discharged safely to your home. Depending on your progress and recovery, your physical therapist may recommend you spend time at an inpatient rehabilitation center to work more with physical and occupational therapists who will help you get stronger before going home.

Patients who live far away may also need to stay at the Mason House after being discharged from the hospital. The Mason House is a low-cost home away from home for you and your family. It’s close to Emory University Hospital, allowing our team to care for you quickly if needed.

Possible Post-Transplant Complications and Treatment

Complications can occur after any surgery. The most common complications that may happen after heart transplant surgery are:

  • High blood pressure: Some medicines you must take after a heart transplant can raise your blood pressure.
  • Infection: After a heart transplant, you  medicine that stops your body from rejecting the new heart. This medicine can increase your risk of infection.
  • Kidney issues: Some medications can affect your kidneys’ function.
  • Rejection: Your body’s immune system may treat your new heart like foreign tissue.
  • Graft (transplant) coronary artery disease: Over time, the main vessels in your new heart may narrow and decrease blood flow.

Medications After Transplant

To keep you and your new heart healthy, you will have to take many medications. These medications are essential to keep the newly transplanted heart functioning properly. You can expect to take these for the rest of your life. The heart transplant team will teach you and a family member about your medications. We will review the purpose, dosage and possible side effects of each with you. We will also help you coordinate medication pick-up or delivery.

When To Call the Transplant Team

Call your transplant coordinator if you experience any of these symptoms, as they may be signs of organ rejection or infection:

  • Change in pulse rate or heart rhythm
  • Excessive tiredness and fatigue
  • Fever, chills or sore throat
  • Headache or sinus drainage
  • Loss of appetite
  • Low-grade fever
  • Nausea, vomiting or diarrhea
  • Pain or burning while urinating
  • Productive (wet – produces mucus or phlegm) cough
  • Shortness of breath
  • Weight gain of more than two to three pounds in 24 hours or more than four to five pounds in a few days
  • Wound redness, swelling or pus

Find an Emory Doctor

Emory Healthcare doctors provide specialized treatment and research the latest advancements.

View Emory Physician Profiles

Explore our Network

To expand your options, explore our network of providers throughout Atlanta and the surrounding counties.

 

Make an Appointment with Emory Transplant Services

Make an appointment online or call 404-778-7777 to schedule an appointment.

Make an Appointment
Call 404-778-7777*
Schedule Online In MyChart

* View our call center hours

Please visit our privacy policy for more information.