The first successful double lung transplant in India has been performed at Yashoda Hospitals, Secunderabad, saving a 23-year-old man from paraquat poisoning and pulmonary fibrosis. This is the fourth successful and rare double lung transplant case in the world and the first reported case of survival from this condition in India. The patient’s case was unique in many ways, as he had been on ECMO for nearly a month, had multiple bloodstream and respiratory infections prior to the transplant, and was almost in bed for nearly a month prior to the transplant. Additionally, there are limitations in the availability of tests to determine the residual amount of paraquat remaining in the body before transplant. Despite these challenges, the surgery was a success, and the patient is now able to perform routine activities without additional oxygen support. This case is a testament to the skill and expertise of the doctors and surgeons at Yashoda Hospitals, Secunderabad, and to the importance of organ donation.
