HONG KONG — Amid growing public discussion over organ donation rates, a Hong Kong woman who survived three near-fatal cardiac crises has become a powerful advocate for the cause, sharing her eight-year journey with a transplanted heart she affectionately calls “Na Na.” Chan Suk-yin, 64, whose life was saved by a stranger’s generosity, now urges the community, and those facing adversity, not to abandon hope. Her testimony underscores the critical need for more organ donors in a city where hundreds await lifesaving procedures.
Chan’s battle with congenital heart disease began at birth. Diagnosed with Tetralogy of Fallot, a severe condition involving four heart defects, her early years were marked by extreme frailty and cyanosis—a bluish tint to the skin caused by low blood oxygen. In an era when infant mortality from the condition was high, Chan miraculously survived, undergoing major corrective surgery at age eight that granted her a reprieve and a chance at a normal life.
However, her struggles resumed in adulthood. The diseased heart, which had grown significantly oversized—up to 10% larger than average—began compromising her respiratory function. By age 47, her cardio-pulmonary capacity had dwindled to 30%. By 56, she needed a motorized wheelchair.
The Road to a Second Birthday
The final decline was rapid and terrifying, with her blood pressure plummeting to dangerous levels. Knowing her time was limited, Chan, a devout Christian, began quietly preparing for her death, sorting possessions and planning her memorial.
“I felt a chill surge from my heart, leaving half my body icy,” Chan recalled of a moment when she felt death approaching. “I knew the grim reaper was knocking again.”
In 2015, following a year on the waiting list, she received the call that changed her life. The decision to proceed was fraught with fear, but her desire for a second chance prevailed. The transplant surgery, however, presented extraordinary challenges. Chan’s enlarged heart had adhered tightly to her lungs, creating complex adhesions. Surgeons had to work meticulously for nearly 12 hours—double the typical duration—to remove the fused organs without rupturing major arteries. Furthermore, the donor heart needed to be rotated to align with Chan’s unique vascular structure.
Chan holds deep gratitude for the anonymous donor family. “I live alongside ‘Na Na,’ welcoming every new day together,” she says, considering the date of her surgery her “second birthday.”
A Tapestry of Gratitude and Advocacy
Since her recovery, Chan has dedicated herself to promoting organ donation awareness alongside other survivors. She realized a long-held dream by conquering a challenging hike up Castle Peak in Tuen Mun—an impossible feat before the transplant.
Her story parallels that of Hong Kong Heart Transplant Mutual Support Group Chairman Tsang Wing-hang, a retired engineer who received a new heart nine years ago after enduring two heart attacks. Tsang, who waited a year for his transplant, echoed Chan’s sentiments on the immeasurable debt owed to donors.
“The surgery not only saved my life but kept my family whole,” said Tsang, who now actively participates in public education campaigns, including competitions designed to innovative ways to discuss donation.
Hong Kong’s organ donation system faces persistent difficulties keeping pace with demand. While approximately 300 heart transplants have been performed since the first procedure in 1992—Chan was the 188th recipient—the current waiting list for all organs and tissues exceeds 3,000 individuals. Critically, 76 people are currently waiting for a heart transplant.
Chan and Tsang both emphasize that while misfortune is unpredictable, focusing on gratitude and self-preservation is paramount. Chan shared a lesson from a radio program, comparing happiness to shards of a shattered glass sphere: “Real happiness lies in treasuring what you already possess.”
Their united message to those still waiting, or those facing any adversity, is clear: Do not give up. The gift of life, made possible by selfless donors, remains a beacon of hope for hundreds across the city.