When is heart-lung transplantation indicated?

Updated: Aug 19, 2019
  • Author: Bryan A Whitson, MD, PhD; Chief Editor: Mary C Mancini, MD, PhD, MMM  more...
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Answer

Lung transplantation is a rapidly evolving field; therefore, a dogmatic approach cannot be recommended. Various issues that must be considered when choosing the procedure include the shortage of organ donors, the etiology of the original disease, and the center's experience with graft and patient survival. The following general guidelines for the selection of the procedure are based on the nature of the original disease and have been adapted from Egan et al. [28]

Heart-lung transplantation is used for the following:

  • Eisenmenger syndrome with irreparable cardiac defect

  • Pulmonary hypertension with cor pulmonale

  • End-stage lung disease with concurrent severe cardiac disease [29, 30]


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