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Surgeons led by Indian-origin doctor perform double lung transplant on second Covid-19 patient

By: PTI | New York |

Printed: July 11, 2020 3:56:32 pm

Earlier than the patient’s identify was added to the transplant wait-list, he needed to take a look at destructive for COVID-19. (Representational)

Surgeons led by an Indian-origin doctor have carried out a double-lung transplant on a second patient whose lungs had been broken by COVID-19, inside a month after the identical staff performed what’s believed to have been the primary such surgical procedure within the US.

The patient, an Illinois man in his 60s, spent 100 days on extracorporeal membrane oxygenation (ECMO), a life help machine that does the work of the center and lungs.

He acquired the transplant final weekend at Northwestern Memorial Hospital in Chicago, the hospital mentioned in a press release.

“This procedure capped an extremely busy holiday weekend for our transplant team. We worked around the clock, performing multiple transplants on non-COVID patients before accepting new lungs for this COVID-19 survivor,” mentioned Dr Ankit Bharat, chief of thoracic surgical procedure and surgical director of the Northwestern Medication Lung Transplant Programme, who carried out seven lung transplants in seven days.

“Performing back to back lung transplants on such complex patients is demanding work and I’m extremely proud of our team’s dedication. It’s a testament to the infrastructure and expertise of Northwestern Medicine’s Lung Transplant Programme,” the Meerut-born doctor mentioned.

The patient contracted COVID-19 in late March and acquired nearly all of his remedy at one other well being system earlier than being transferred to Northwestern Memorial Hospital for consideration of a double-lung transplant.

Inside 72 hours of being listed, the life-saving process was carried out on July 4.

Earlier than the patient’s identify was added to the transplant wait-list, he needed to take a look at destructive for COVID-19.

“Coincidentally, the transplant happened to be on the 100th day of ECMO support. Being on ECMO and separated from the ventilator allowed the patient to participate in daily bedside rehabilitation which is important for lung transplantation,” mentioned Dr Bharat.
Sometimes, a double-lung transplant takes 6 to 7 hours, however this surgical procedure took about 10 hours resulting from lung necrosis and extreme irritation within the chest cavities ensuing from COVID-19.

“Prior to his arrival at Northwestern Memorial, the patient developed an invasive infection which required a major chest surgery. This was going to make the double-lung transplant substantially more difficult,” says Samuel Kim, MD, Northwestern Medication thoracic surgeon, who assisted within the double-lung transplant alongside Dr Bharat. “His lung damage was among the worst I’ve ever seen. When we opened the chest cavity there was a lot of evidence of infection; everything we touched or dissected started bleeding and one misstep could have led to catastrophic consequences.”

Northwestern surgeons led by Dr Bharat in June have carried out what’s believed to have been the first-known lung transplant on a COVID-19 patient within the US final month — on a girl in her 20s.

The surgeons carried out their first on a girl in her 20s whose lungs confirmed irreversible harm from the virus.

She grew to become the primary identified COVID-19 patient within the United States to obtain a double-lung transplant.

“Our first patient continues to recover at an optimal pace,” says Rade Tomic, MD, a pulmonologist and medical director of the Lung Transplant Programme. “Our second patient is already off the ventilator and is talking to his family. He’s grateful for the care he received from all the health care providers, including those at his original hospital, who helped him get to this point. We’re optimistic that both patients will make a full recovery and return to their daily lives.”

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