Heart and Lung Transplantation in India: Results of the Indian Heart Lung Transplant Registry of Indian Society for Heart and Lung Transplant: 2025

Introduction: The Indian Society of Heart and Lung Transplantation (INSHLT) maintains the registry of thoracic organ transplants done in India. This report highlights the last one year’s data and transition to a registry run by a data analytics company. Methods: The responsibility of maintaining the data of thoracic organ transplantation in India has been given to Metamagics Pune, a data analytics company and this report is based on an anonymised report created by this company. Results: This report from the Indian Society for Heart and Lung Transplantation highlights the data on thoracic transplants performed in India since 1994, with a focus on 2024 and 2025 (till July). The launch of the Indian Heart and Lung Transplant Registry (IHLTR) in 2024, modeled after the United Network for Organ Sharing (UNOS) and ISHLT databases, marks a significant milestone in consolidating transplant data nationwide. Currently, data from 13 hospitals are included, reflecting the activity of heart and lung transplants in the country. The majority of heart transplants are performed in Tamil Nadu, Karnataka, Telangana, and Gujarat, with smaller contributions from New Delhi, Maharashtra, and West Bengal. Although reports exist from Kerala and Rajasthan, data from these regions remain unavailable in the current registry. Similarly, lung transplants are concentrated in Telangana, Tamil Nadu, Gujarat, Karnataka, and Maharashtra. In 2024, there were a total of 102 heart transplants, 75 lung transplants, and 5 combined heart–lung transplants. From January to July 2025, the registry recorded 33 heart transplants, 29 lung transplants, and 2 heart–lung transplants. Among the heart transplant recipients, 37 out of 70 patients had a pulmonary artery systolic pressure greater than 50 mmHg. With respect to age distribution, in heart transplants, 9 of 85 patients were younger than 20 years, while 13 patients were older than 60 years. In contrast, in lung transplants, only 1 out of 65 patients was below 20 years of age, whereas 22 patients were above 60 years. Conclusions: The report underscores the need for comprehensive data submission and urges transplant teams to register with IHLTR to enhance the reach and accuracy of future reports. All transplant teams are requested to register with this database via help.ihltr@gmail.com before the next annual meeting in Jaipur this year.