What exactly is a heart transplant? Who is a candidate for a heart transplant? Patients whose heart is unable to meet the body's needs, when the pumping power is exhausted, who are unable to perform other cardiac surgeries or cardiac procedures, who receive very intensive medical care and who have months, weeks or even days left to live, are eligible for heart transplantation. However, these types of patients and their relatives should be inclined and adaptable to this type of treatment and suitable for training. IS EVERY PATIENT WHO NEEDS TRANSPLANTATION SUITABLE FOR TRANSPLANTATION? The most important limiting factor is the lack of a corpse donor. At least 600-800 heart transplants are needed annually in our country. Our country has not yet reached the number of 100 heart transplants a year. WHAT IS THE COURSE OF THE HEART TRANSPLANTATION? BEFORE, DURING AND AFTER THE OPERATION Patients of this type are patients who have recently consulted a doctor recently due to heart problems, and are even often hospitalized. Or they may have previously had heart surgery one or more cardiac procedures. Maybe they were sick recently. Such patients, ie those patients who have been treated for heart failure, are examined for heart transplantation and mechanical heart support systems. These reviews are very detailed. Your doctor will also tell you the results of the required tests and the final consultation decision. IF THE CONSILIUM DECIDES ON THE TRANSPLANTATION OF THE HEART The final decision on the heart transplant for the patient is reported to the National Coordination Center for Heart Transplant. The process of waiting for the heart starts in predetermined conditions. Patients included in the Ministry's waiting list are included in patient lists organized according to the patient's conditions as emergency and elective. HEART TRANSPLANTATION PROCESS It is a process of racing against time. It takes two teams. The task of the first team is to go to the donor hospital, make sure that the donor is suitable, remove the donor's heart in accordance with the procedure, protect his vitality and deliver him to the operating room of the heart transplant center as soon as possible. The coordination of these phases is carried out by specially trained coordinators of the heart center. The heart, delivered to the heart transplant center, is eager to reach the new body. The time spent in the ultra-modern operating room is complemented by all the possibilities of open heart surgery. The first heartbeats that start in the new body are the greatest gift for the team. INTENSIVE CARE PROCESS After the transplant, our patient was taken to an ultra-equipped intensive care unit, which we call a clean room, with a special air conditioner. After the transplant, our patient, who will stay in this room for 3-4 days, opens his eyes to his new life with his new heart. With instructions given in the form "Do not get excited at all, please follow the orders of the officer", our patient tries to calm down after the transplant. The difficult time in the intensive care unit will be short. CLINIC FOR HOSPITALIZED PATIENTS (INPATIENT) After the intensive care process, the inpatient clinic period begins a week or ten days, depending on the patient's condition. Here, doctors and officials train both the patient and his / her relatives on what will be considered in the future. Some medications will be used for a lifetime. They should be used without interruption. The patient is then periodically monitored after discharge. During these controls, the level of drugs in the blood, ECG for heart rhythm, contraction force of the heart and heart valves are checked. These examinations are usually performed within the program. Patients must follow the prescribed control programs. Are there other practices for patients who do not have the option of a heart transplant? Patients waiting for a heart transplant are getting closer to emergency conditions. For patients in this condition, heart machines that we call "mechanical heart support systems" can be life-saving. ARE THESE MACHINES SUITABLE FOR EVERY PATIENT? These machines also have conditions for application. These machines can sometimes be a "bridge to healing", sometimes a "bridge to a heart transplant", a "bridge to a doctor's decision", and sometimes a "bridge to survival" even for a while. They are not suitable for every patient.