First bloodless heart transplant was performed on a 52-year-old Indian patient.


The patient, 52-year-old Chandraprakash Garg, who was suffering from Ischemic Dilated Cardiomyopathy and end-stage heart failure. The Doctors at Marengo CIMS Hospital in Ahmedabad successfully performed Asia’s first bloodless heart transplant.



Bloodless heart transplant surgeries are exceptionally intricate, demanding highly skilled medical professionals with extensive expertise. The success of these procedures depends on precision and accuracy, involving meticulous assessment and control of blood loss, ultimately eliminating the need for blood transfusions.

Incident 1: Miraculous surgery! Boy’s ‘decapitated’ head reattached Suleiman hassan, a 12-year-old boy, had an internal decapitation in which his skull detached from his neck.

Incident 2 : Medication can only control the condition for so long and most patients require a complete heart transplant. And, others are waiting for their donor.as the result Artificial hearts made from magnets and titanium. 


New Delhi: Marengo CIMS Hospital, Ahmedabad, a part of the Marengo Asia Hospitals Group, achieved a milestone in heart transplants by conducting Asia’s first bloodless heart transplant. This surgical procedure introduced an innovative approach to manage bleeding during surgery, eliminating the need for blood transfusions. The surgical procedure used a precise technique tailored to minimise blood loss during surgery to the point where blood transfusions are no longer necessary.


Dr Dhiren Shah, who led the surgery, stated that a blood transfusion-free heart transplant represents a remarkable milestone in cardiac surgery and showcases the significant strides made in surgical techniques and technology. He also mentioned the establishment of a Hemostasis Center of Excellence by adopting the bloodless heart transplant technique.

Meanwhile, Cardiothoracic Anesthetist Dr. Niren Bhavsar, who was also part of the procedure, highlighted the importance of continuous monitoring of the patient’s vital signs and other parameters, managing blood pressure, and coagulation parameters.


The donor was a 33-year-old individual who tragically lost their life in a road traffic accident.


The patient, 52-year-old Chandraprakash Garg, who was suffering from Ischemic Dilated Cardiomyopathy and end-stage heart failure,


The operation was performed on a 52-year-old Indian patient named Chandraprakash Garg, who was suffering from Ischemic Dilated Cardiomyopathy (IDC) an end-stage heart failure. The donor was a 33-year-old individual who lost their life in a road traffic accident. High-end heart transplant surgeries traditionally necessitate a significant volume of blood for transfusion due to substantial blood loss during the procedure. However, these transfusions come with potential risks and complications, as blood transfusion is considered akin to an organ transplant itself and requires careful monitoring and control.

Marengo CIMS Hospital followed specific protocols to successfully execute this surgery. Bloodless heart transplant surgeries are exceptionally intricate, demanding highly skilled medical professionals with extensive expertise. The success of these procedures depends on precision and accuracy, involving meticulous assessment and control of blood loss, ultimately eliminating the need for blood transfusions


Notably, the patient who underwent this groundbreaking therapy was discharged in just nine days, a stark contrast to the typical 21 to 24 days of hospital stay for conventional heart transplant patients. With this clinical outcome, Bloodless heart transplants in highly complex, life-saving procedures. This zero-transfusion approach significantly reduces short- and long-term complications associated with transfusions, shortens hospital stays, and enhances overall clinical outcomes. For patients who face challenges in accepting external blood transfusions, this therapy offers newfound hope for heart transplantation.



What is Bloodless Surgery?



Bloodless cardiac surgery is a safe alternative for patients who have serious heart conditions but cannot or choose not to receive any blood or blood products (red cells, white cells, plasma or platelets). During bloodless heart surgery, our physicians use meticulous surgical techniques and innovative procedures that minimize surgical blood loss and avoid the need for a transfusion during surgery. 

To prepare for transfusion-free surgery, we might ask our patients to take certain measures designed to maximize their blood counts before the procedure, including:

• Increase iron through dietary changes and supplements
• Stop smoking and drinking alcohol
• Take vitamins that compliment blood optimization (folic acid)
• Temporarily cease the use of over-the-counter pain medication (aspirin, ibuprofen) and anti-coagulants (warfarin), and supplements like vitamin E and fish oil

• Take medications (Epogen) to improve blood counts. 


Blood-Sparing Surgical Techniques



Cell Saver: This machine collects blood that is lost during surgery and recycles it back into the patient’s body. The Cell Saver will remove any debris and other contaminants from the blood and separate the red blood cells to be returned to the patient through an intravenous line. 

Cardiopulmonary Bypass: The heart-lung machine is used to divert the blood and add oxygen to it before returning to the heart. This replaces the function of the lungs and is primarily used so the heart can be stopped for surgery.

Hemodilution: Before surgery a particular amount of concentrated blood is drawn from the patient and the same amount of fluid is infused into the patient’s body to dilute their blood so there is less blood lose during surgery. After surgery, the concentrated blood is returned to the patient’s body. 


Benefits of Bloodless Surgery





Blood-sparing (or blood conserving) cardiac surgery offers patients a transfusion-free alternative that features a wide range of advantages besides the lack of reliance on national blood banks. Patients who choose bloodless medicine can experience positive advantages like:

  • Avoidance of blood-borne viruses and infections through transfusion. 
  • Stronger immune system after surgery without a transfusion. 
  • Prevention of inflammatory and allergic reactions through blood transfusion. 
  • Fewer reactions from blood stored for a longer period of time. 
  • Precludes hemolytic transfusion reactions caused by donor blood antibodies after transfusion.