Transplantation gives hope to thousands of people with organ failure and provides many others with active and renewed lives.

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Memorial Lung Transplantation

A lung transplant is an effective treatment for disease that has destroyed most of the lungs’ function. A lung transplant is reserved for people who have tried other medications or treatments, but their conditions have not sufficiently improved. For people with severe lung disease, a transplant can bring back easier breathing Lung transplantation can be performed with organs from cadavers and living donors. Recently, living donor lung transplantation programs have been put into place due to limited availability of donors. Lobar lung transplantation from living donor is a life-saving option for patients who are not eligible for waiting for an organ from cadaver due to their deteriorated pulmonary functions and clinical condition.

Why Memorial


Memorial Hospital Group founded in 2000 is the first hospital in Turkey receiving a JCI (Joint Commission International) accreditation certificate. İntroducing world-class quality healthcare to Turkey Memorial provides services in 11 hospitals and 3 medical centers and and 7.500 employees.

Memorial Organ Transplantation Centers; with its world-famous academic staff and specialist physicians, and health personal specialized on post organ transplantation patient care, provides service at international standards. In the centers, where the best results are achieved more than 900 transplantation every year from live or cadaver donors, organ transplants for children and adults are being performed with success.
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Airport Transfer

We offer our patients transportation service between the airport, hotel and the hospital.

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Translator

Our professional interpreters will be with you once you come to Memorial Hospitals until you turn back to your country.

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Accomodation

Our packages include accommodation in 3 stars, 4 stars and 5 stars hotels.

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Certifications

At MEMORIAL, we are particularly proud of being a Joint Commission International (JCI) certified institution.

As the Memorial Health Group, we have taken many measures since the first day of the disease to protect our patients, patient relatives and employees against the COVID-19 (Coronavirus) epidemic that threatens the whole world and our country, and in this process called the "New Normal", we continue to serve our guests with "Our High Hygiene Standards".
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Preperation and Surgery



Required medical tests prior to a lung transplant help us dentify potential problems and avoid complications.Following examination of the donors for criteria such as blood type and height match, their relationship with the recipient (up to third degree) will be documented in conformity with international rules of law, and psychological evaluations, imaging scans, blood tests, pulmonary function tests and consultations will be performed.

Patient

  • Radiologic scanning of Thorax Computed Tomography taken in last 3 months sent by ‘’wetransfer ‘’ or ‘’ email’’
  • A video of the patient which is about the last status of the patient lasting for 1 minute.
  • Current anamnesis or discharge note.( Including the history of the patient )
  • The pathologic/ radiologic diagnosis of primary lung disease ( biopsy and or postoperative pathology reports)
  • The drug regimen
  • Current Height, Weight
  • Blood Type
  • Respiratroy Function Tests (Spirometry, DLCO)
  • 6 Minute Walking Test (If avaliable)
  • Echocardiography (Pulmonary artery pressure, Ejection fraction, Evaluation of right heart)
  • Contact number of the referring physician

Donor

There must be two donors for lung transplantation who must have the same blood group type with the patient and have a relationship of 3rd degree which must be documented via consulates by apostille.
● Blood group type
● Current Height, Weight
● Smoking History
● Respiratroy Function Tests (Spirometry, DLCO)
● Radiologic scanning of Thorax Computed Tomography

Apart from the medical approach, the patient’s social status should also be evaluated

Psychological and social evaluation. Your stress condition related to your chronic disease, your financial challenges, and assistance of your family and loved ones will be evaluated.

Imaging and Invasive Procedures. Imaging procedures are performed to check your lungs and overall health condition. Related tests may include chest x-ray (PA), ultrasound, CT scans, pulmonary function tests, consultation examinations by doctors from other branches, lung biopsy, and dental examinations.

After Lung Transplantation


Patient

Following the lung transplant, the patient will be monitored at the intensive care unit for 1-6 days on average and then taken to the ward. Following monitorization and drain removal, follow-up and training process will be started. Respiratory Physiotherapy will be completed within 30-60 days on average, after which the patient is discharged unless any complication is observed. The recipient’s follow-up examinations are performed in Postop Months 3-6-12-18-24-36-48-60.


Donor

The donors will be postoperatively monitored under intensive care conditions for one night, after which they will be transferred to the ward. 2 chest drains are inserted during the surgery. The first drain is removed on Day 2-3 of follow-up at the ward and the second drain is removed on Day 5-6, and the patient is discharged from the hospital. The donors will attend follow-up examinations and take PA chest x-rays and blood tests on:
Post-transplant Day 3
Post-transplant Day 10
Post-transplant Day 20.

Doctors

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Prof. Adnan SAYAR


FETCS Thoracic and Lung Transplant Surgeon

Bahçelievler Hospital

CV

Get Evaluated and Make Appointment

Please do not hesitate to contact us for further details.



[email protected]

CONTACT US

Q & A

Although there is no upper age limit for selection of eligible patients, those over the age of 70 are unlikely to be candidates as recipients.

Determining if you are a candidate for any organ transplant requires a comprehensive evaluation, beginning with a medical record review, and the process often includes additional medical testing.A lung transplant may be needed for the following conditions:

Obstructive


Emphysema Alpha-1-Antitrypsin Deficiency Obliterative

Suppurative


Cystic Fibrosis Bronchiectasis

Interstitial


Idiopathic Pulmonary Fibrosis Other Fibrotic Lung Diseases Sarcoidosis Scleroderma Lymphangioleiomyomatosis (LAM) Eosinophilic granuloma

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Retransplantation


  • Hyperacute Rejection / Primary Graft Dysfunction
  • Chronic Lung Graft Dysfunction (CLAD)
  • Apart from the indications listed above, it is reported that lung transplantation is indicated for lung fibrosis and respiratory failure after Covid-19.
  • Patients who need lung transplantation due to fibrosis after Covid-19 can be candidates as recipients only if:
  • They have recovered from acute infection and cytokine storm (Evaluation of standard tests such as Ferritin, CRP, Lymphocyte count, LDH, H-score) IL-1B (if applicable), IL-6 have returned to normal levels,
  • The patient does not have any other organ failure,
  • The patient’s general condition is good,
  • There is no pre-transplant frailty,
  • The patient is able to attend physical therapy, and preferably able to walk before surgery.
The transplant team will consider all information from interviews, your medical history, physical exam, and diagnostic tests in deciding your eligibility for a lung transplant.
The major risk is organ rejection. The body reacts to a foreign object or tissue. When an organ is transplanted, patient’s immune system consider it as a threat and attacks the organ. Other serious complications can occure from the drugs used to prevent rejection.


You might be considered unsuitable if:

  • Having a history of malignancy within the last 2 years (excluding squamous and basal cell cancers of the skin). The patient must have a five-year disease- free period before transplantation. There is no consensus on transplantation in bronchoalveolar cancer that tends to remain localized.
  • Severe functional insufficiency of other major organ systems (heart, kidney, liver)
  • Untreatable extrapulmonary infections (Chronic active hepatitis B, hepatitis C, HIV)
  • Thoracic wall and spinal deformities
  • Patients with reported non-compliance with medical treatment
  • Psychiatric disorders that impair compliance with treatment and cannot be treated
  • Insufficient social support
  • Substance abuse (persisting for the last 6 months)
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A lung transplant is an option for infants ,children and young adults with long-term (chronic) lung diseases, which cannot be improved with other treatments.
Lung Transplantation can extend someone's life and improve their quality of life. Life expectancy for transplant patient is very variable depending on age and other medical issues. Please discuss this with our medical team.

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