At the NYU Langone Transplant Institute, cardiac experts provide the highest standard of care for people who need heart transplants.
We are the No. 1 heart transplant center in the Northeast and are one of the nation’s premier heart transplant programs, as evidenced by data published by the Scientific Registry of Transplant Recipients (SRTR). We care for patients with the most complex diagnoses and those who have been told by other programs that they were not a candidate for transplant. Our innovative surgical approach, the experience of our transplant team, and our surgical facilities in Kimmel Pavilion, one of the most digitally advanced hospitals in the country, contribute to our success.
From your initial evaluation through post-transplant checkups, our skilled, compassionate team works with you and your family to ensure the best possible outcomes at every step of your journey. We offer all heart transplant–related treatments and therapies, including pretransplant care for heart failure, transplant evaluations, bridge to transplant therapies, and post-transplant appointments. Our doctors are available in Manhattan and on Long Island, so you can receive care at a location that is convenient for you.
Shortest Time on the Waitlist, and Best Outcomes
We provide rapid medical evaluation to determine whether a transplant is right for you. People who need a heart transplant spend less time on the waitlist at NYU Langone than at any other hospital in the Northeast, and we have the highest one-year survival among high-volume centers in the region. We also have the lowest waitlist mortality rate in New York State. After surgery, our patients require shorter hospital stays than the national average.
Nader Moazami, MD, surgical director of heart transplantation, brings more than 2 decades of experience to the NYU Langone Transplant Institute and has performed more than 800 heart transplants.
When a Heart Transplant Is Needed
People who are candidates for a heart transplant typically have heart failure for which other treatments have been unsuccessful. They may experience shortness of breath during very light levels of activity, or have severe and frequent chest pain. Our doctors with our Heart Failure Advanced Care Center can help you explore all your treatment options.
Some of the most common causes of heart failure include the following conditions:
- cardiomyopathy (genetic, hypertrophic, idiopathic, infectious, post-pregnancy, post-viral, or restrictive)
- congenital heart defects
- heart damage caused by a heart attack
After all nontransplant options have been explored to treat heart failure, your doctor may refer you to the NYU Langone Transplant Institute, or you may call us directly to schedule an appointment. Our doctors review your medical records and sometimes order additional cardiac tests, such as right and left heart catheterization, an echocardiogram, or a cardiopulmonary exercise stress test.
After any preliminary tests are complete, a doctor meets with you to discuss your medical history and conduct a complete physical exam. If the doctor determines that you’re a suitable candidate for transplant evaluation testing, the transplant nurse coordinator schedules additional tests that begin approximately two weeks after your first visit.
Heart Transplant Evaluation
When you come to NYU Langone for heart transplant evaluation, our team conducts several different types of tests:
- lab tests not conducted during your first visit
- a pulmonary function test
- radiology tests
- tests to check for blockages in the carotid arteries in your neck
- a test to measure blood flow in the veins and arteries of your legs
During the evaluation, you also meet with our heart transplant cardiologist and surgeon, as well as a dietitian, financial coordinator, pharmacist, and social worker.
Throughout this process, our team evaluates whether a heart transplant is the best option for you, and keeps you and your family up to date so that you can make an informed decision.
We conduct heart transplant evaluations and provide pre- and post-transplant outpatient care at our Manhattan location and on Long Island at NYU Langone Cardiology Associates—Mineola and in partnership with the Heart Success program at Morristown Medical Center, part of the Atlantic Health System.
Bridge to Transplant Therapies
For some people, a left ventricular assist device (LVAD) or a total artificial heart can help maintain or improve your overall health while you wait for a donor heart. These “bridge to transplant” therapies are provided by our transplant surgeons and doctors from NYU Langone’s Heart Failure Advanced Care Center.
Left Ventricular Assist Device
Before a transplant, our cardiac experts may recommend that you receive an LVAD, a small electric pump that is connected to your heart to help it pump blood. If you are considered ineligible for a heart transplant, our team may recommend using an LVAD as a destination, or lifelong, therapy. The process to qualify for destination therapy is similar to the evaluation process for a heart transplant.
Total Artificial Heart
A total artificial heart can be another treatment option for people with advanced heart failure. Unlike an LVAD, which supports only the heart’s left ventricle, a total artificial heart replaces both ventricles and takes over all the work of pumping blood to the lungs and then out to the body. The device is connected to a portable external console, which can be used outside of the hospital.
Heart Transplant Candidacy
If our team determines that a heart transplant is the best treatment option for you, we help you prepare for candidacy. Our transplant nurse coordinator places you on the United Network of Organ Sharing (UNOS) national waiting list, where are you assigned a heart transplant status, which is based on how urgently you need a heart.
After you have been placed on the waiting list for a donor heart, you need to be prepared for surgery whenever a heart becomes available. The wait time for a heart varies and depends on factors including your blood type, body size, and medical urgency.
When a suitable heart becomes available, you are admitted to the hospital if you have been waiting at home and prepared for heart transplant surgery.
After Heart Transplant Surgery
In the months after your transplant, you have frequent checkups with our team. At these checkups, our experts make sure you are doing well, adjust your medications, if necessary, and monitor you for infections or other complications.
After your transplant, you also have heart biopsies—once a week for the first month and then gradually less often—so that our team can make sure your new heart is not being rejected.
Our team is dedicated to your success and support after your heart transplant. Your care team continues to see you regularly after surgery for as long as needed.
For more information or to make an appointment, call the NYU Langone Transplant Institute at 833-34-HEART or 833-344-3278.