Transplant Services | Heart Transplantation

Every patient who comes to the Hartford Hospital Transplant program with advanced heart failure wants a second chance at life.

See more videos like this >>

Our mission for all of our patients is to make every transplant as good as the program’s first in 1984.

That year, Andrzej “Andy” Buczek of Farmington, became the first successful heart transplant recipient in Connecticut history when doctors at Hartford Hospital, led by cardiothoracic surgeon Henry B.C. Low, performed the procedure with a team of surgeons, clinical cardiologists and immunologists. At the time of his death in 2017, 33 years after the procedure, Buczek was among the top five longest-surviving heart transplant recipients in the United States.

Since 1984, our program has performed more than 430 heart transplant operations and is the top heart transplant program in Connecticut. Based on the Scientific Registry of Transplant Recipients data, Hartford Hospital ranks No. 1 in three-year survival in Connecticut, second-highest in the New England-New York-New Jersey region and among the highest in the nation.

Today, the Heart Transplant team includes heart failure specialists, transplant surgeons, transplant coordinators, transplant nurses, social workers, a transplant psychologist, dentists, nutritionists, transplant pharmacy specialists and infectious disease experts.   

We are dedicated to providing comprehensive care from the time the patient is referred to the program and indefinitely after transplantation. There is nothing more rewarding to our entire team than seeing our sickest patients do well following transplant.


Heart Failure Facts

  • An estimated 5.7 million adults in the United States have heart failure, according the Centers for Disease Control and Prevention.
  • About half of people with heart failure die within five years of their diagnosis.
  • In 2009, one in every nine deaths in the U.S. included heart failure as a contributing cause.
  • In 2018 there were 3408 heart transplants performed in the U.S.
  • More than 90 percent of heart transplant patients in the U.S. are  alive one year after their surgery.

What is Congestive Heart Failure? 

A healthy heart pumps blood and oxygen to your organs so your body functions properly. With congestive heart failure, a weakened heart muscle can’t keep up with the body’s needs to pump out blood. When this happens, fluid builds up in the lungs or other parts of the body. 

Signs of heart failure: 

  • Shortness of breath
  • Feeling tired
  • Swelling in the feet/ankles/legs
  • Weight gain
  • Loss of appetite/upset stomach 

Potential heart transplant recipients are usually referred to Hartford Hospital when their cardiologist finds that their heart function has worsened despite changes in lifestyle, diet and medications. Your cardiologist might recommend an examination at Hartford Hospital to determine the best treatment for your condition, which might be a transplant. 

Some causes of heart failure that result in heart transplantation: 

Primary cardiomyopathy: A weakened heart muscle with no other signs of cardiac issues.

Coronary artery disease: Narrowing or blocking of the coronary arteries.

Dilated cardiomyopathy: An enlarged, dilated and weakened left ventricle, the heart’s primary pumping chamber, can’t pump blood as it should

Valvular heart disease: A damaged or defective heart valve (mitral, aortic, tricuspid or pulmonary).

Congenital heart disease: A structural heart problem that’s a birth defect.

Inoperable hypertrophic cardiomyopathy: Thickened heart muscle that makes it more difficult to pump blood.

Learn More


If You’re a Candidate for a Heart Transplant

Patients with advanced heart failure, or those with heart disease that has not responded to any medical treatment, should be considered for transplant evaluation.

Here’s a closer look at our team of specialists who will evaluate you:

Heart Failure Cardiologist and Transplant Surgeon: Determines the extent of your heart disease and if a transplant is a possible treatment option for you. The cardiologist also oversees your care after your heart transplant.

Transplant Coordinators: These nurses and/or advanced practice nurses collect and review information on your overall physical health and information from other specialists who evaluate you. They answer all your questions about a transplant and will help with your medical care after the surgery.

Transplant Social Workers and Psychologists (as needed): An assessment of your mental health and your well-being and support structure. You can also talk to these specialists about any concerns before the transplant.

Transplant Dietitian: Reviews your current nutrition, with recommendations on a post-transplant diet.

Transplant Pharmacist: Checks your current medications and possible drug interactions, helps you learn about your transplant medications.

Transplant Financial Coordinator: Reviews your current insurance coverage for heart transplant evaluation, surgery and medications. We can also help connect you with other resources, if needed, to help cover the cost of transplant.

Infectious Diseases Doctor: Reviews your lab results and vaccination records, checks to see if you need any vaccinations before the transplant and identifies possible infection risks that could become a problem.

Transplant Surgeon: Reviews information about the surgery and heart donor. This is the doctor who will perform the operation.

Once the evaluation is complete, the transplant team will recommend treatment options and discuss if a heart transplant is the best option. The risks and benefits will be discussed with each patient. 

If you’re accepted for transplantation, your name is placed on the national transplant waiting list maintained by the United Network for Organ Sharing (UNOS).  The time on the waitlist varies depending on the supply of donor hearts available, blood type and the urgency of everyone on the waiting list. While waiting, the patient is followed in the office periodically to assist with any medical issues that may arise.

As you wait, you’ll visit our doctors as needed for any medical issues. 


While You’re Waiting: Ventricular Assist Devices

A heart pump, or ventricular assist device, can save the life of a patient with a failing heart who is awaiting a transplant. These pumps help move blood from the ventricles, the lower chambers of the heart, to the rest of your body. For those expecting a transplant, these are known as bridge devices – they sustain your heart as you await a replacement.

Emerging research suggests what was once thought impossible: Some patients find that a ventricular assist device, or VAD, find that their hearts actually improve with help from these mechanical pumps. 

Left Ventricular Pumps

A ventricular assist device is most often used to assist blood flow in the left ventricle, which pumps oxygenated blood to the rest of the body. When used in the left ventricle, these devices are known as left ventricular assist devices, or LVADs. 

Here are types of LVADs: 

ECMO: Hartford Hospital is among the few hospitals in the region with an artificial heart-lung machine known as ECMO, or Extracorporeal Membrane Oxygenation, that oxygenates and pumps blood outside the body, assuming the duties of your heart and lungs.

Left-heart Impella: The left-heart version of the world’s smallest heart pump, the pump within a catheter.

HeartMate: Assists a weakened heart pump blood.

Vented electric HeartMate: An electric motor inside the pump is powered and controlled externally. 

Right Ventricular Pump

The pump the transplant team recommends is the world’s smallest, the right-heart Impellato assist blood flow from the right ventricle to the lungs.

It’s actually a pump with a catheter, placed from the inferior vena cava through the right atrium and right ventricle, ultimately positioned in the pulmonary artery. This pump assumes the function of the right ventricle by withdrawing blood from the inferior vena cava and pumping it into the pulmonary artery.

Learn More


Heart Failure Infusion Program

Hartford Hospital’s Heart Failure Infusion Program is changing the way today’s patients live with heart disease. Our outpatient treatment facility is dedicated to caring for patients with  advanced heart failure.

We offer:

  • Ventricular assist devices, the mechanical pumps that facilitate normal blood flow in people with a weakened heart.
  • Intravenous administration of medications that restores normal fluid status and improves symptoms rapidly.
  • Nutritional counseling to help patients adhere to a complex medical regimen and a specialized low-sodium diet. Patients learn to recognize weight gain that signals fluid retention.
  • Cardiac rehabilitation and individualized exercise plans that strengthen the heart muscle to improve circulation and support recovery.

Learn More


Meet our Heart Transplantation Specialists:

Name Specialties Location
Darsaklis, Konstadina, MD
860.972.1212
  • Advanced Heart Failure and Transplant
  • Cardiovascular Medicine
  • Echocardiography
Show Less
  • Hartford
Feingold, Andrew David, MD, FACC
860.522.0604
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Avon
  • Glastonbury
Show Less
Fusco, Daniel Stephen, MD
860.696.5520
  • Cardiac Surgery
  • Hartford
Gluck, Jason Aaron, DO
860.972.1212
  • Advanced Heart Failure and Transplant
  • Cardiovascular Medicine
  • Internal Medicine
  • Nuclear Cardiology
Show Less
  • Hartford
  • Norwich
Show Less
Hammond, Jonathan Acton, MD
860.696.5520
  • Cardiac Surgery
  • Hartford
Jaiswal, Abhishek, MD
860.972.1212
  • Advanced Heart Failure and Transplant
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
Radojevic, Joseph Anthony, MD
860.972.1212
  • Advanced Heart Failure and Transplant
  • Cardiovascular Medicine
  • Internal Medicine
Show Less
  • Hartford
  • Norwich
Show Less

Back to Top


Patient Resources

Consent & Referral Forms

 

Watch these videos to learn more

Heart Transplant Program