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Choong-young Kim, a Korean citizen who has continued his life relying on a ventilator and ECMO due to pulmonary fibrosis that occurred after healing from Corona 19 infection in Mexico, regained his health through a lung transplant in his home country and the lung transplant team at Asan Medical Center in Seoul. Photographs are being taken to commemorate the 100th day of admission with the medical staff. From the left in the last row, Professor Sehun Choi, Sangbeom Hong, Dongkyu Oh, and Seungil Park. From the left in the front row, her husband Jeong Gap-hwan and Kim Chung-young“Please save my mother. We need a lung transplant!”
An email came from Mexico on the other side of the world saying that without a lung transplant, the lungs hardened after the coronavirus infection was cured in August, when the second corona19 pandemic occurred. This is an email sent by Jeong Jae-jun, 34, son of Kim Chung-young (55, female), a 50-year-old self-employed Korean citizen in Mexico, to the medical staff at Asan Medical Center in Seoul. The only way to save his mother is with a lung transplant, but the surgery was not possible in Mexico. Kim and her family despaired at the words of local medical staff to prepare their hearts, but the lung transplant team at Seoul Asan Hospital, who received the email, contacted local medical staff without hesitation to determine. Mr. Kim’s condition and determining whether a lung transplant was possible. In Mexico, a single email sent by her son Jung became a spark of hope to save his mother, and with the help of the Korean Embassy, Kim died with a ventilator and Ekmo (artificial lung of the heart) on Saturday. August 8. After leaving Mexico by air ambulance in a dependent state, he traveled some 12,000 km for more than 24 hours to his home country on the other side of the globe through four countries, including Vancouver, Canada, Alaska and the Soviet Union. , on the morning of August 9 (Sunday), in Korea. I was able to arrive safely. Finally, on September 11 (Friday), the lung transplant team at Asan Hospital in Seoul successfully completed a lung transplant for Kim for more than 10 hours, and Kim recovered to the point that she can currently live and He was discharged from the hospital on December 8 (Tuesday).
In Mexico, on the other side of the world, a Korean citizen in his 50s, who was at a crossroads between life and death due to the aftermath of Corona 19, was transported to his country of origin by air ambulance for more than 24 hours, dependent on mechanical devices such as ventilators and ECMO. And he received a new life through a lung transplant It is due to the efforts of the lung transplant team at Seoul Asan Hospital.
In June of this year, while living in Mexico, Kim was admitted to the ABC hospital in Mexico City with a positive corona 19, but after three days the pneumonia worsened, so he applied a ventilator and was diagnosed with septic shock. Subsequently, due to the aftermath of crown 19, pulmonary fibrosis occurred and he almost lost his lung function, and the local medical staff told Kim’s family that it was difficult to treat, so prepare for the heart.
To save Mr. Kim, who is in danger of desperate despair, members of the Kim family flew from ABC Hospital for about an hour and a half in an air ambulance (a patient-only transport plane) on July 24 to Christus Muguersa Hospital, the only successful lung transplant in Mexico. I transferred Mr. Kim. Kim, who arrived at Hospital Christus Mugueresa de Monterrey in northeastern Mexico, fortunately overcame the crisis with the application of ECMO (artificial cardiopulmonary system), however, due to pulmonary fibrosis, more than 90% of his lungs hardened and his lung function was lost. The only way to save him was with a lung transplant.
The medical staff in charge told Kim’s family that lung transplantation was possible, but the possibility of proceeding with a lung transplant was minimal as Mexico did not have much experience in lung transplantation and donor organ culture. it was not common.
As a last hope, Kim’s son Jung Jae-joon, desperate, sent an email to the medical staff of the Asan Medical Center in Seoul, in his home country, on the other side of the world, asking for the rescue of his mother through a transplant. lung. A local doctor in Mexico, who heard the story, also recommended Seoul Asan Hospital knowing that many foreign medical scientists were trained with rich experience in transplants of organs such as liver, heart, lung, kidney and pancreas, and a high rate of transplant success.
After checking the email, the lung transplant team at Asan Medical Center in Seoul reached out to local medical staff in Mexico without hesitation to understand Kim’s condition. However, as Kim’s condition was evaluated by the lung transplant team at Asan Medical Center in Seoul, the chance of progressing the lung transplant and recovery after surgery was extremely low. In early August, the medical staff of the lung transplant team met to discuss the progress and recovery potential of Mr. Kim’s lung transplant on several occasions, and decided to proceed with the lung transplant, but it is possible that It is possible to transfer Mr. Kim, who had completely lost his lung function and was unconscious, to Korea for a long time. It was a question.
Finally, with the family’s efforts, we were able to prepare for Kim’s transfer using a professional company using an air ambulance, and with the help of the Korean Embassy in Mexico, the transfer process went smoothly. At the same time, the lung transplant team at Asan Medical Center in Seoul made preparations for Kim’s speedy hospitalization procedures. Departing from the Monterrey Airport in Mexico, Mr. Kim, who depended on the Eckmo and the oxygen respirator (Dr. Gaby / ECMO specialist, Ms. Erika / extracorporeal circulator) from the Christus Mugueresa Hospital, departed from the Monterrey Airport in Mexico to Vancouver Airport in Canada and Anchorage Airport in Alaska. After a 24-hour flight through Kamchatka Airport in the Soviet Union, he arrived at Incheon International Airport around 4 a.m. on August 9. Kim was admitted to the internal medicine intensive care unit through the emergency room at Asan Hospital in Seoul, and checked in as waiting for a lung transplant.
For lung transplantation, even if a lung comes out of a brain-dead donor, it is necessary to first confirm whether the lung is the right lung for the recipient using an antigen-antibody reaction test. Whenever a brain-dead donor came out, the results of the rejection reactions were followed by the antibody problem of Kim, who received long-term antibiotic treatment and blood transfusion for pneumonia and sepsis. Medical staff also expressed concern that the lung transplant could be difficult due to continued rejection, but finally, on September 11, Kim had a brain-dead lung that could be transplanted. At 5pm on the same day, 20 members of the medical staff, including a lung transplant team and nurses in the operating room, moved to the operating room on the third floor of the East Building of Asan Hospital in Seoul, occupied by the lung transplant. from Kim. After more than 10 hours of major surgery after the arrival of the donor lungs, Kim’s lung transplant was successfully completed.
Kim had to rely on a ventilator for a long time after receiving a lung transplant, and her lung function did not recover as quickly as expected, but she was able to overcome the hurdle with proper critical care treatment from the team’s medical staff. transplant at Asan Hospital, Seoul, and is now receiving rehabilitation treatment. I was discharged on March 8.
Kim said: “After curing the coronavirus infection in Mexico, I thought that life was over due to pneumonia, sepsis and pulmonary fibrosis. In a devastating situation, I was able to undergo a lung transplant with the dedication of my family and medical staff from the lung transplant team at Asan Hospital in Seoul. “It’s just a feeling of excitement and thanks to my family and all the medical staff.” My son Jeong said, “Every day was like hell because I thought that I would never see my mother again in Mexico, where a lung transplant could not be performed. In an email sent to medical staff at Asan Medical Center in Seoul, all the lung transplant teams moved together and regained health. It seems like a dream to see my mother recover. The warm hearts of the medical staff on the lung transplant team made our family’s future shine again. ”
As a result of the analysis of more than 130 patients who received a lung transplant from 2008 until the end of last year, the lung transplant team at Asan Hospital in Seoul recorded a 5-year survival rate of 62%, raising the survival rate of domestic lung transplantation at a world-class level. Survival rates at 1 and 3 years are also 78% and 67%, respectively, giving great hope to patients with end-stage lung failure who hesitate to undergo a transplant because their survival rates are low. compared to other organs like the liver and the heart.
In October 2017, Professor Park Seung-il from the Department of Thoracic and Cardiovascular Surgery at Asan Hospital in Seoul succeeded in transplanting the first lung from a living body in Korea and led a resolution on the amendment to the Implementing Decree of the Transplantation Law , as organs, which allows live human lungs to be transplanted. Park Seung-il, Professor of Thoracic and Cardiovascular Surgery who performed the surgery, said: “I am pleased to save Koreans who depend on Ekmo to live and die through a lung transplant in their home country due to pulmonary fibrosis due to the aftermath of Corona 19 in Mexico. A mail is saved from the other side of the world. However, the heart to save the patient from the lung transplant team at Asan Hospital in Seoul and the strong will of the family came together to complete The operation was successful, and Mr. Kim plans to return to his daily routine and regain his current health. ”
Professor Hong Sang-beom from the Department of Respiratory Medicine at Asan Hospital in Seoul said: “Kim was in very serious condition at the time of transfer, but was able to regain his health after lung transplantation through careful management. of the patient and all the medical staff. Especially after the lung transplant, the patients of all the nurses in the intensive care unit and the ward were treated. ” “We were able to achieve good results thanks to the teamwork focused on him. The lung transplant team will continue to maintain a high-quality integrated management of lung transplant patients through teamwork and an organic multidisciplinary system to increase survival rate ”.
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