Aizada, Kyrgyzstan – Living Donor Lung Transplant Surgery

【Patient portrait】

Patient Aizada, 48 years old, is a bank manager in Kyrgyzstan. She was diagnosed with end-stage idiopathic pulmonary fibrosis, with severe lung failure. She needs continuous oxygen 24 hours a day and has very poor ability to move independently. Her life can only be prolonged through lung transplantation.

This surgery was a bilateral living donor lung transplant. The donor underwent a comprehensive preliminary evaluation at the local hospital, and their cardiopulmonary function and physical condition met the criteria for living donor lung transplantation. Both the patient and the donor had completed all necessary entry and exit procedures and cross-border medical treatment formalities before coming to China, allowing for immediate commencement of preoperative treatment upon arrival.

【Predicaments before coming to China】

Kyrgyzstan lacks the capacity for lung transplantation, leaving the patient without access to local treatment. The patient had previously considered treatment options in Russia and Europe, with total treatment costs exceeding $250,000, making the medical expenses extremely high.

However, performing three surgeries simultaneously on the recipient and donor, as well as bilateral living lung transplantation, is extremely difficult. Very few medical centers worldwide can perform this procedure successfully, and patient once faced the predicament of having no hospital to treat her.

【The decision-making process of choosing Trisana Medguide】

Through referral channels, Trisana Medguide has urgently launched a special assistance service for high-risk and complex international living donor lung transplants:

We provide professional Russian medical record translation, and complete the compilation of patient and donor medical information, preliminary review and risk screening;

Connect with the Lung Transplant Center of Shanghai Pulmonary Hospital and collaborate with top transplant teams to conduct remote specialist assessments and evaluate surgical feasibility (including assessment of donor and recipient lung lobe volume matching).

We accurately matched scarce core technologies, confirmed the bilateral living donor lung transplantation plan, and relied on the advantages of the top domestic transplantation team to overcome the barriers of highly difficult surgeries worldwide.

An emergency approval channel for international transplant ethics has been opened, significantly reducing the preoperative preparation period and efficiently promoting compliant diagnosis and treatment.

【A complete record of my medical treatment in China】

Timeline	Service Content
Day 1 Special Arrangements for Inbound Travelers	The patient, carrying oxygen supply equipment, arrived in Shanghai on the same flight as the donor. They were then transported via a closed-loop dedicated vehicle and directly admitted to a specialized respiratory intensive care unit for preoperative vital sign monitoring and basic conditioning.
Day 2–Day 5: Preoperative detailed assessment + ethical approval	The patient completed a full set of preoperative assessments for transplantation, including cardiopulmonary function, imaging, and immune indicators, as well as optimized treatment of the condition; the donor completed cardiopulmonary anatomical screening, general health assessment, and specialized psychological assessment; the three-stage simultaneous surgical plan was successfully reviewed by the hospital's ethics committee (subsequent administrative approval from the National Health Commission will be processed simultaneously by the hospital according to legal procedures, and the final approval cycle is subject to the actual approval of the competent authority).
Day 6: Three Simultaneous Highly Difficult Transplant Surgeries	Seamless coordination across three operating rooms: Donor 1 underwent a right lower lobectomy after evaluation; Donor 2 underwent a left lower lobectomy after evaluation; and the patient simultaneously underwent bilateral total lung resection. Two healthy lung lobes were precisely transferred and successfully transplanted, resulting in a highly complex bilateral living donor lung transplant.
Day 7–Day 14 Postoperative stratified monitoring and recovery	After short-term monitoring, both donors were successfully transferred to general wards, with stable recovery and no postoperative complications; the patient was successfully weaned off the ventilator after 5 days of ICU monitoring, with successful compensation of newly formed lung lobes and gradual and steady recovery of lung function.
Day 15–Day 35 Synchronized Rehabilitation Training	Three patients simultaneously underwent postoperative rehabilitation and symptomatic care; two donors have basically regained normal activity levels; the patient's cardiopulmonary function has significantly improved, with the 6-minute walking distance increasing from only 50 meters before surgery to 300 meters.
Day 36 Pre-departure Assessment and Return Trip	The transplant team completed a comprehensive pre-departure flight safety assessment, confirming they met the requirements for long-haul flight; all three returned safely to Bishkek on the same flight. We simultaneously delivered the Russian-language rehabilitation guidelines, individualized immunosuppressive medication regimens, and lifelong remote follow-up services.

【Comparison of transplantation options】

Comparison Dimensions	European and American Transplantation Protocols	Trisana Medguide Program in China (Living Donor Lung Lobe Transplantation)
Overall cost	Over $250,000 USD, with extremely high additional costs during the long waiting period	Lower than the cost in Europe and the United States (including preoperative care, three simultaneous surgeries, hospitalization, and standard rehabilitation, excluding complication management), with transparent and controllable costs.
Technical Accessibility	Only conventional donor transplantation is available; living donor lobectomy is not possible	One of the few centers that has mastered globally rare and highly challenging techniques and can perform bilateral living donor lobectomy maturely (requires strict preoperative donor-recipient matching assessment).

【Customer testimonials (anonymous quote)】

"I am so fortunate to have had the full support and assistance of Trisana Medguide. From the initial assessment, ethical approval, surgical arrangements to postoperative rehabilitation, the whole process was professional and worry-free. The experts at the Shanghai Pulmonary Hospital successfully completed three simultaneous high-difficulty surgeries, creating a miracle of life. Now, after a comprehensive evaluation by the transplant team confirming safety, we have returned home smoothly, my life has been extended, and I have finally been freed from the ventilator. The feeling of breathing freely is wonderful! I sincerely thank the top medical skills of Shanghai Pulmonary Hospital and Trisana Medguide for their full protection and meticulous service."