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Nepali doctor Kumud Dhital success in ‘Dead’ hearts transplanted into living patients

A team at St Vincent’s Hospital including Nepali Cardiothoracic surgeon Kumud Dhital in Sydney revived and then transplanted hearts that had stopped beating for up to 20 minutes which is world’s first heart transplant in Australia using a “dead heart”, a major development that could save many lives.

The first patient who received a heart said she felt a decade younger and was now a “different person”.Hearts are the only organ that is not used after the heart has stopped beating – known as donation after circulatory death.

Beating hearts are normally taken from brain-dead people, kept on ice for around four hours and then transplanted to patients.

Cardiothoracic surgeon Kumud Dhital, who performed the transplants with hearts donated after circulatory death (DCD), said he “kicked the air” when the first surgery was successful.

The novel technique used in Sydney involved taking a heart that had stopped beating and reviving it in a machine known as a “heart-in-a-box”.The heart is kept warm, the heartbeat is restored and a nourishing fluid helps reduce damage to the heart muscle.

The first person to have the surgery was Michelle Gribilas, 57, who was suffering from congenital heart failure. She had the surgery more than two months ago.”Now I’m a different person altogether,” she said. “I feel like I’m 40 years old – I’m very lucky.”

Prof Peter MacDonald, head of St Vincent’s heart transplant unit, said: “This breakthrough represents a major inroad to reducing the shortage of donor organs.”It is thought the heart-in-a-box, which is being tested at sites around the world, could save up to 30% more lives by increasing the number of available organs.

The breakthrough has been welcomed around the world.The British Heart Foundation described it as a “significant development”.


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