Hyderabad doctors perform rare double-lung transplant on post-COVID lung fibrosis patient

Hyderabad doctors perform rare double-lung transplant on post-COVID lung fibrosis patient

Hyderabad: Doctors at “Institute of Heart and Lung transplant” within the Krishna Institute of Medical Sciences (KIMS), Hyderabad, efficiently carried out a double lung transplant on a post-covid lung fibrosis affected person after bridging him to transplant with extracorporeal membrane oxygenation (ECMO) for 53 days. 

The process was carried out by a workforce of docs led by the nation’s famend coronary heart and lung transplant surgeon Dr Sandeep Attawar.

The 34-year-old affected person, a advertising and marketing skilled from Haryana, was identified with a COVID-19 an infection on October 29, 2020. Initially, he was admitted to a hospital in New Delhi. Even after the optimum therapy, the situation of the affected person continued to worsen and he was initially placed on a ventilator and in a while ECMO help.

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The investigations confirmed that the affected person’s lung had suffered extreme injury attributable to covid and had turn out to be fibrosed. The solely therapy possibility was to endure lung transplantation. 

“The clinical situation was grim and challenges aplenty. The patient had an infection in the bloodstream, he was grossly deconditioned being on the bed due to the illness and transfer to Hyderabad from Delhi was challenging, waiting time for the organ was uncertain,” defined Dr Sandeep Attawar.

Till date, Dr Sandeep Attawar has carried out over 12,000 coronary heart surgical procedures and has over 250 transplant surgical procedures for lungs, coronary heart, and synthetic coronary heart implants (LVAD) to his credit score.

From Delhi, the affected person was shifted to KIMS in Hyderabad. He was stabilised and the an infection was handled with acceptable antibiotics. The preliminary therapy included bedside physiotherapy to get him in the very best situation for the transplant. Finally, after 53 days of ECMO help, an identical donor was discovered and the affected person underwent a double lung transplant on Nov 21, 2020.

Commenting on the process, Dr Sandeep Attawar, Program Director and Chair Thoracic Organ Transplant program at KIMS mentioned, “bridging to lung transplant with ECMO is routinely performed across the globe. However, in India, infections pose a challenge with a lot of patients succumbing to infections waiting for the transplant.”

“In this case, the challenge was to first treat the infection and then ensuring that the patient remains infection-free for the time patient was waiting for the organ and at the same time the team had to ensure maintaining optimal functions of the other organs as well,” he added.

The efforts of a workforce of docs at KIMS ensured that the targets have been achieved and the affected person underwent a profitable double lung transplant after 53 days of ECMO help which is the longest period of ECMO bridging to lung transplant in India.

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