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Lung transplantation

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achieved with bilateral anterior thoracotomies. Intraoperatively, lung transplantation can be performed with the use of extracorporeal membrane oxygenation, cardiopulmonary bypass (heart-lung machine) or without any mechanical circulatory support. Intraoperative mechanical circulatory support can be required due to severe pulmonary hypertension, haemodynamic instability or inability to tolerate one-lung ventilation. In the case of a sequential transplant the recipient's lung with the poorest
700: 441:. Some patients, on a case by case basis and based on estimated survival after the treatment of malignant disease, may be allowed after the discussion within multidisciplinary teams. There are also certain cases where pre-existing infection is unavoidable, as with many patients with cystic fibrosis. In such cases, transplant centers, at their own discretion, may accept or reject patients with current infections of 1041:
one year after transplant. Since sirolimus is not administered until at least 3–12 months after transplant, these median survival estimates were conditional on surviving 1 year post-transplant. As lung transplantation has improved since the late 20th century with advancements in perioperative management, surgical technique and postoperative rehabilitation, 5-year survival has increased even up to 60-70%.
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this stage, patients are typically required to attend rehabilitation gym for approximately 3 months to regain fitness. Light weights, exercise bike, treadmill, stretches and more are all a part of the rehabilitation programme. Postoperative rehabilitation is crucial for the outcomes of transplant recipients and has evolved since the late 20th century.
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A 2019 cohort study of nearly 10,000 lung transplant recipients in the US demonstrated significantly improved long-term survival using sirolimus + tacrolimus (median survival 8.9 years) instead of mycophenolate mofetil + tacrolimus (median survival 7.1 years) for immunosuppressive therapy starting at
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and giving medications. After a few days, barring any complications, the patient may be transferred to a general inpatient ward for further recovery. The average hospital stay following a lung transplant is generally one to three weeks, though complications may require a longer period of time. After
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The transplantation process starts after the donor lungs are inspected and the decision to transplant has been made. An incision is then made from under the patient's armpit, around to the sternum, and then back towards the other armpit; this is known as a clamshell incision. Another approach can be
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A lobe transplant is a surgery in which part of a living or deceased donor's lung is removed and used to replace the recipient's diseased lung. In living donation, this procedure requires the donation of lobes from two different people, replacing a lung on each side of the recipient. Donors who have
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Some patients with these diseases, if their condition can be made to improve to the point where they are stable enough to survive the operation, are granted an exception- many individuals with end-stage lung disease will have acute or chronic illnesses in other organs). These patients that are often
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While the surgical details will depend on the type of transplant, many steps are common to all these procedures. Before operating on the recipient, the transplant surgeon inspects the donor lung(s) for signs of damage or disease. If the lung or lungs are approved, then the recipient is connected to
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Lung transplantation is the therapeutic measure of last resort for patients with end-stage lung disease who have exhausted all other available treatments without improvement. A variety of conditions may make such surgery necessary. As of 2005, the most common reasons for lung transplantation in the
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Illustration showing the process of a lung transplant. In figure A, the airway and blood vessels between a recipient's diseased right lung and heart are cut. The inset image shows the location of the lungs and heart in the body. In figure B, a healthy donor lung is stitched to the recipient's blood
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Evidence suggests that exercise may contribute to speeding up physical recovery in adults after lung transplantation, helping to minimize disability from physical inactivity, both pre and post-transplant. However, there are no detailed guidelines on how exercise should be performed in this type of
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In a single-lung transplant the process starts out after the donor lung has been inspected and the decision to accept the donor lung for the patient has been made. An incision is generally made from under the shoulder blade around the chest, ending near the sternum. An alternate method involves an
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It takes about one hour for the pre-operative preparation of the patient. A single lung transplant takes about four to eight hours, while a double lung transplant takes about six to twelve hours to complete. A history of prior chest surgery may complicate the procedure and require additional time.
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or LAS, which takes into account various measures of the patient's health. The new system allocates donated lungs according to the immediacy of need rather than how long a patient has been on the transplant list. Patients who are under the age of 12 are still given priority based on how long they
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Patients who are accepted as good potential transplant candidates must carry a pager with them at all times in case a donor organ becomes available. These patients must also be prepared to move to their chosen transplant center at a moment's notice. Such patients may be encouraged to limit their
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The results obtained from a 2021 Systematic Review concluded that the effects of exercise in this population are still very questionable. While some studies do report benefits taken from exercising, while others have not reached the same conclusions. Nonetheless, the articles involved in this
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Sef, D; Verzelloni Sef, A; Trkulja, V; Raj, B; Lees, NJ; Walker, C; Mitchell, J; Petrou, M; De Robertis, F; Stock, U; McGovern, I (April 2022). "Midterm outcomes of venovenous extracorporeal membrane oxygenation as a bridge to lung transplantation: Comparison with nonbridged recipients".
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A particularly involved example of this has been termed a "domino transplant" in the media. First performed in 1987, this type of transplant typically involves the transplantation of a heart and lungs into recipient A, whose own healthy heart is removed and transplanted into recipient B.
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In single-lung transplants, the lung with the worse pulmonary function is chosen for replacement. If both lungs function equally, then the right lung is usually favored for removal because it avoids having to maneuver around the heart, as would be required for excision of the left lung.
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connections to the lungs are cut during the procedure, transplant recipients cannot feel the urge to cough or feel when their new lungs are becoming congested. They must therefore make conscious efforts to take deep breaths and cough in order to clear secretions from the lungs. Their
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performed the first human lung transplant on June 11, 1963. Following a single-lung transplantation, the patient, identified later as convicted murderer John Richard Russell, survived for 18 days. From 1963 to 1978, multiple attempts at lung transplantation failed because of
929:. Patients will normally have to take a combination of these medicines in order to combat the risk of rejection. This is a lifelong commitment, and must be strictly adhered to. The immunosuppressive regimen is begun just before or after surgery. Usually the regimen includes 365:, was diagnosed with an irreversible, chronic and fibrotic lung disease. Later on that year, she received a single lung transplant in the UK. In November 2018, Ms. Dwyer was recognized as the world's longest surviving single lung transplant recipient in an event at the 221:
However, more and more often, hepatitis C patients are both being transplanted and are also being used as donors if the recipient is hepatitis C positive. Similarly, select HIV-infected individuals have received lung transplants after being evaluated on a case-by-case
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Sef, D; Verzelloni Sef, A; Mohite, P; Stock, U; Trkulja, V; Raj, B; Garcia Saez, D; Mahesh, B; De Robertis, F; Simon, A (December 2020). "Utilization of extracorporeal membrane oxygenation in DCD and DBD lung transplants: a 2-year single-center experience".
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As with any surgical procedure, there are risks of bleeding and infection. The newly transplanted lung itself may fail to properly heal and function. Because a large portion of the patient's body has been exposed to the outside air,
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Able to comply with post-transplant regimen. A lung transplant is a major operation with complex follow-up, and the patient must be willing to adhere to a lifetime regimen of medications as well as continuing medical
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may be prescribed in order to treat or prevent such infections. In turn, infection may increase the risk of rejection, and generally an interaction may prevail between both risks. Certain medications may also have
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The immunosuppressants that are needed to prevent organ rejection also introduce some risks. By lowering the body's ability to mount an immune reaction, these medicines also increase the chances of infection.
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drugs which are required every day to prevent transplant rejection. Lack of a strong immune system leaves transplant recipients vulnerable to infections. Care must be taken in food preparation and hygiene as
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These statistics are based on data from 2008. The source data made no distinction between living and deceased donor organs, nor was any distinction made between lobar, single, and double lung transplants.
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tube. The donor lung is placed, the blood vessels and bronchial tube reattached, and the lung reinflated. To make sure the lung is satisfactory and to clear any remaining blood and mucus in the new lung a
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There are certain requirements for potential lung donors, due to the needs of the potential recipient. In the case of living donors, this is also in consideration of how the surgery will affect the donor:
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Yang, Z; Takahashi, T; Terada, Y; Meyers, BF; Kozower, BD; Patterson, GA; Nava, RG; Hachem, RR; Witt, CA; Byers, DE; Kulkarni, HS; Guillamet, RV; Yan, Y; Chang, SH; Kreisel, D; Puri, V (December 2022).
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Chronic rejection, meaning repeated bouts of rejection symptoms beyond the first year after the transplant surgery, occurs in approximately 50% of patients. Such chronic rejection presents itself as
644:, due to the bacterial colonization commonly found within such patients' lungs; if only one lung were transplanted, bacteria in the native lung could potentially infect the newly transplanted organ. 105:, it is imperative that a recipient receive two lungs. While lung transplants carry certain associated risks, they can also extend life expectancy and enhance the quality of life for those with 1373:
Reitz BA, Wallwork JL, Hunt SA, Pennock JL, Billingham ME, Oyer PE, et al. (March 1982). "Heart-lung transplantation: successful therapy for patients with pulmonary vascular disease".
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Patients who are being considered for placement on the organ transplant list undergo extensive medical tests to evaluate their overall health status and suitability for transplant surgery.
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is a primary concern, both immediately after the surgery and continuing throughout the patient's life. Because the transplanted lung or lungs come from another person, the recipient's
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been properly screened should be able to maintain a normal quality of life despite the reduction in lung volume. In deceased lobar transplantation, one donor can provide both lobes.
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or other potentially harmful side-effects. Other medications may also be prescribed in order to help alleviate these side effects. There is also the risk that a patient may have an
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Merlo, CA; Weiss, ES; Orens, JB; Borja, MC; Diener-West, M; Conte, JV; Shah, AS (August 2009). "Impact of U.S. Lung Allocation Score on survival after lung transplantation".
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Post-transplant patients are held from driving for the first 3 months pending an assessment of the patient's capacity to drive; this assessment is usually performed by an
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which would necessitate a heart transplant. These patients can be treated by a surgery in which both lungs and the heart are replaced by organs from a donor or donors.
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A double-lung transplant, also known as a bilateral transplant, can be done either sequentially, en bloc, or simultaneously. Sequential is more common than en bloc.
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Cohen, DJ; Loertscher, R; Rubin, MF; Tilney, NL; Carpenter, CB; Strom, TB (November 1984). "Cyclosporine: a new immunosuppressive agent for organ transplantation".
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incision under the breastbone. In the case of a singular lung transplant the lung is collapsed, the blood vessels in the lung tied off, and the lung removed at the
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have been on the transplant waitlist. The length of time spent on the list is also the deciding factor when multiple patients have the same lung allocation score.
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basis to patients on the transplant list. This was replaced by the current system, in which prospective lung recipients of age of 12 and older are assigned a
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No alcohol, smoking, or drug abuse (some individuals who can cease these habits and comply with treatment may be allowed after the professional assessment)
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Despite the severity of a patient's respiratory condition, certain pre-existing conditions may make a person a poor candidate for lung transplantation:
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Many patients can be helped by the transplantation of a single healthy lung. The donated lung typically comes from a donor who has been pronounced
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The donated lung or lungs must be large enough to adequately oxygenate the patient, but small enough to fit within the recipient's chest cavity
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will see it as an invader and attempt to neutralize it. Transplant rejection is a serious condition and must be treated as soon as possible.
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that would normally help regulate it. They may also notice a change in their voice due to potential damage to the nerves that coordinate the
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While a transplant center is free to set its own criteria for transplant candidates, certain requirements are generally agreed upon:
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are replaced by lungs from a donor. Donor lungs can be retrieved from a living or deceased donor. A living donor can only donate one
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to the medications. Close follow-up care is required in order to balance the benefits of these drugs versus their potential risks.
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systematic review reported enhancements in muscle strength and increased bone mineral density as well as improvements in 6MWT.
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Tarrant, BJ; Quinn, E; Robinson, R; Poulsen, M; Fuller, L; Snell, G; Thompson, BR; Button, BM; Holland, AE (3 July 2023).
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In order to prevent transplant rejection and subsequent damage to the new lung or lungs, patients must take a regimen of
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will be performed. When the surgeons are satisfied with the performance of the lung the chest incision will be closed.
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Doctors at the Sklifosovsky Institute start a lung transplantation operation. The operation will last about 12 hours.
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Within an acceptable weight range (marked undernourishment or obesity are both associated with increased mortality)
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Gutierrez-Arias R, Martinez-Zapata MJ, Gaete-Mahn MC, Osorio D, Bustos L, Melo Tanner J, et al. (July 2021).
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Taghavi, S; Bîrsan, T; Pereszlenyi, A; Kupilik, N; Deviatko, E; Wisser, W; Steltzer, H; Klepetko, W (May 1999).
1303: 101:. With some lung diseases, a recipient may only need to receive a single lung. With other lung diseases such as 3589: 3108: 2680: 2651: 2625: 2235: 886:
due to the immune suppressants, and gastrointestinal inflammation and ulceration of the stomach and esophagus.
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acutely deteriorating and are critically ill can be successfully "bridged" to transplantation with the use of
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and Henry Metras, during the 1940s and 1950s first demonstrated that the procedure was technically feasible.
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travel within a certain geographical region in order to facilitate rapid transport to a transplant center.
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1988: First successful long-term double lung transplant for cystic fibrosis by Joel Cooper (Toronto).
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Certain patients may require both lungs to be replaced. This is especially the case for people with
316:, that organs such as the lungs could be transplanted with a reasonable chance of patient recovery. 3564: 3391: 3358: 3350: 2551: 2377: 2199: 1418: 970: 594: 545: 196: 60: 3118: 3007: 2718: 2663: 2414: 2322: 2069:"A comparison of outcomes after lung transplantation between European and North American centers" 909:
flu-like symptoms, including chills, dizziness, nausea, general feeling of illness, night sweats;
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that are present on donated lungs. A mismatch of blood type can lead to a strong response by the
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Bando K, Paradis IL, Komatsu K, Konishi H, Matsushima M, Keena RJ, et al. (January 1995).
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Wijesinha M, Hirshon JM, Terrin M, Magder L, Brown C, Stafford K, et al. (August 2019).
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Financially able to pay for expenses (where medical care is paid for directly by the patient)
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Hardy JD, Webb WR, Dalton ML, Walker GR (December 1963). "Lung Homotransplantation in Man".
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Surgical procedure in which a patient's diseased lungs are partially or totally replaced
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Kern RM, Seethamraju H, Blanc PD, Sinha N, Loebe M, Golden J, et al. (July 2014).
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Transplanted lungs typically last three to five years before showing signs of failure.
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increase or decrease in body weight of more than two kilograms in a 24-hour period.
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Biscotti, M; Sonett, J; Bacchetta, M (2015). "ECMO as bridge to lung transplant".
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There may be a number of side effects following the surgery. Because certain
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for monitoring, normally for a period of a few days. The patient is put on a
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No other chronic end-stage medical conditions (e.g., heart, kidney, liver)
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Before 2005, donor lungs within the United States were allocated by the
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is collapsed, the blood vessels tied off, and cut at the corresponding
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Arcasoy, Selim M.; Kotloff, Robert M. (1999). "Lung Transplantation".
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1983: First successful long-term single lung transplant (Tom Hall) by
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Pulmonary Hypertension: A Patient's Survival Guide 3rd edition p. 126
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The first successful transplant surgery involving the lungs was a
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2% replacing previously transplanted lungs that have since failed;
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Pulmonary Hypertension: A Patient's Survival Guide 3rd ed. p. 133
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Pulmonary Hypertension: A Patient's Survival Guide 3rd ed. p.134.
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Metras H (1950). "Preliminary note on lung transplants in dogs".
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Immediately following the surgery, the patient is placed in an
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idiopathic (formerly known as "primary") pulmonary hypertension
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Hygiene becomes more important in everyday living due to the
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to assist breathing. Nutritional needs are generally met via
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responds less quickly to exertion due to the cutting of the
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may be removed. Because the patient is confined to bed, a
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began with several attempts that were unsuccessful due to
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1986: First successful long-term double lung transplant (
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International Society for Heart and Lung Transplantation
1889:"Exercise training for adult lung transplant recipients" 1372: 409: 279:. Animal experimentation by various pioneers, including 2166: 1882: 1880: 1878: 1876: 1874: 1533: 1468:"Longest surviving transplant recipient receives award" 421:
Has exhausted other available therapies without success
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are given preventatively. Other complications include
1447:(11). Canadian Medical Association: 1610. 29 May 2001 1250: 1134:. Aetna intelihealth. 30 January 2006. Archived from 2181: 2171: 1871: 1630: 381: 1668:"In 3-Way Transplant, Living Patient Donates Heart" 1608:. Cleveland Clinic. 7 February 2003. Archived from 781:is used. IV lines are used in the neck and arm for 1975: 1973: 1942:The Journal of Thoracic and Cardiovascular Surgery 1324:"Barnett To Free Killer Who Had Lung Transplant", 254:History of noncompliance with medical instructions 1302:. Emory University. 12 April 2005. Archived from 679:line and various monitoring equipment, including 490:Medical tests for potential transplant candidates 3581: 1970: 1864: 1862: 1285:"Transplanting Of Lung Apparently Successful", 703:Incision scarring from a double lung transplant 658:Some respiratory patients may also have severe 93:, is a surgical procedure in which one or both 2893:List of organ transplant donors and recipients 3470: 2974: 2243: 2073:The Journal of Heart and Lung Transplantation 1633:The Journal of Heart and Lung Transplantation 1437:"First double-lung transplant recipient dies" 687:, and a machine will breathe for him or her. 2492:Post-transplant lymphoproliferative disorder 1859: 1850: 1606:"Lung Transplant Evaluation: Required Tests" 880:Post-transplant lymphoproliferative disorder 195:Concurrent end-stage chronic illness (e.g., 1893:The Cochrane Database of Systematic Reviews 1731:European Journal of Cardio-Thoracic Surgery 1051:Sarah Murnaghan lung transplant controversy 609: 2981: 2967: 2250: 2236: 536:(High Resolution Thoracic & Abdominal) 376: 304:). It was only after the invention of the 27: 2257: 2092: 2042: 2032: 1953: 1912: 1742: 1234:Comptes Rendus de l'AcadĂ©mie des Sciences 1208: 1102: 1092: 1694: 1692: 1690: 1688: 845: 698: 578: 300:bronchial healing (i.e. reconnection of 262: 112: 1189:Annals of the American Thoracic Society 1161: 1159: 1157: 1155: 1153: 1126: 1124: 1122: 3582: 1665: 1490: 1465: 1416: 1231: 990:Survival rate after a lung transplant 748: 331:in 1981 on a woman who had idiopathic 2962: 2231: 1685: 1598: 410:Requirements for potential recipients 128:chronic obstructive pulmonary disease 1982: 1441:Canadian Medical Association Journal 1292: 1150: 1119: 1077:"Lung transplantation for emphysema" 1074: 945:is given instead of ciclosporin and 511:rejection of the transplanted organs 394:Size match (mostly based on height) 186: 3331:High-resolution computed tomography 2989:Tests and procedures involving the 2636:Canadian Society of Transplantation 2631:American Society of Transplantation 1375:The New England Journal of Medicine 1068: 918:increased chest pain or tenderness; 430:extracorporeal membrane oxygenation 13: 2113: 2034:10.1001/jamanetworkopen.2019.10297 912:increased difficulty in breathing; 357:In 1988, Vera Dwyer, a woman from 308:, coupled with the development of 14: 3611: 2149: 1816:Physiotherapy Theory and Practice 1700:"What Is the Surgical Procedure?" 1300:"History of Lung Transplantation" 915:worsening pulmonary test results; 382:Requirements for potential donors 2562:United Network for Organ Sharing 2547:National Transplant Organization 2167:United Network for Organ Sharing 1265:10.1001/jama.1963.63710120001010 1081:Annals of Translational Medicine 1056:Post-transplant survival measure 817: 724: 694: 591:United Network for Organ Sharing 558:Ventilation/perfusion (V/Q) scan 475:Acceptable psychological profile 437:No current infections or recent 2676:Organ transplantation in Israel 2059: 2008: 1929: 1803: 1759: 1718: 1659: 1624: 1562: 1527: 1509: 1484: 1459: 1429: 1410: 1401: 1366: 1331: 548:(Gated cardiac blood pool scan) 248:Age - relative contraindication 3109:Laryngotracheal reconstruction 2681:Organ transplantation in Japan 2652:Organ transplantation in China 2626:American Society of Nephrology 1990:"2008 OPTN/SRTR Annual Report" 1905:10.1002/14651858.cd012307.pub2 1548:10.1016/j.thorsurg.2014.09.010 1318: 1279: 1244: 1225: 1201:10.1513/AnnalsATS.201402-083OC 1176: 635: 623: 210:Current infections, including 163:alpha 1-antitrypsin deficiency 1: 3500:Positive pressure ventilation 2557:Trillium Gift of Life Network 2537:National Marrow Donor Program 1979:Merck Manual 18th ed. p. 1377 1955:10.1016/S0022-5223(95)70419-1 1828:10.1080/09593985.2022.2041779 1744:10.1016/s1010-7940(99)00078-0 1061: 647: 218:- relative contraindications 139:idiopathic pulmonary fibrosis 3600:Thoracic surgical procedures 3495:Negative pressure ventilator 2595:Halachic Organ Donor Society 2522:Gift of Life Marrow Registry 2085:10.1016/j.healun.2022.07.014 1645:10.1016/j.healun.2009.04.024 1417:Rundle RL (2 January 2003). 980: 683:. The patient will be given 669: 174:24% other causes, including 7: 2600:Kidney Foundation of Canada 2134:10.1056/nejm199904083401406 1387:10.1056/NEJM198203113061001 1352:10.7326/0003-4819-101-5-667 1340:Annals of Internal Medicine 1044: 769:is sufficient for feeding. 765:, although in some cases a 478:Has a social support system 107:end stage pulmonary disease 10: 3616: 3595:Pulmonary thoracic surgery 3485:Surgical airway management 3341:Ventilation/perfusion scan 3141:Tracheoesophageal puncture 2657:harvesting from Falun Gong 2605:National Kidney Foundation 2461:Non-heart-beating donation 2177:Lung Transplant Foundation 1572:Journal of Cardiac Surgery 763:total parenteral nutrition 651: 582: 554:(Dobutamine/Thallium scan) 472:Age (single vs. double tx) 350:) by Joel Cooper (Toronto) 258: 3510: 3463: 3443: 3415: 3372: 3349: 3311: 3304: 3211: 3117: 3006: 2997: 2905: 2888: 2857: 2841: 2825: 2794: 2768: 2732: 2696: 2689: 2644: 2618: 2570: 2505: 2487:Graft-versus-host disease 2479: 2451: 2423: 2298: 2265: 2185: 1666:Altman LK (13 May 1987). 1287:Tucson (AZ) Daily Citizen 949:instead of azathioprine. 289:University of Mississippi 91:pulmonary transplantation 73: 59: 47: 43:Pulmonary transplantation 39: 26: 21: 3565:Pulmonary rehabilitation 3392:Bronchial challenge test 3359:Pneumonia severity index 3351:Clinical prediction rule 2552:NHS Blood and Transplant 2157:MedlinePlus Encyclopedia 1769:Transplant International 1536:Thoracic Surgery Clinics 1075:Inci I (November 2020). 971:bronchiolitis obliterans 841: 838:becomes more of a risk. 610:Types of lung transplant 595:first-come, first-served 529:Pulmonary function tests 197:congestive heart failure 2928:Immunosuppressive drugs 2664:Organ donation in India 1491:Cullen P (2018-11-20). 1466:Hurley S (2018-11-20). 1423:The Wall Street Journal 927:immunosuppressive drugs 614: 568:Cardiac catheterization 377:Transplant requirements 310:immunosuppressive drugs 3555:Hyperinflation therapy 3520:Artificial respiration 3490:Mechanical ventilation 3425:Bronchoalveolar lavage 3326:CT pulmonary angiogram 2948:Frankenstein's monster 2943:Total body irradiation 2669:Gurgaon kidney scandal 2527:Human Tissue Authority 973:, or less frequently, 866: 824:occupational therapist 704: 418:End-stage lung disease 333:pulmonary hypertension 268: 251:Psychiatric conditions 3590:Organ transplantation 3535:Decompression chamber 3203:Heart–lung transplant 2933:Lung allocation score 2870:Jean-Michel Dubernard 2259:Organ transplantation 1022:Heart-lung transplant 947:mycophenolate mofetil 874:is a possibility, so 849: 702: 654:Heart–lung transplant 599:lung allocation score 585:lung allocation score 579:Lung allocation score 321:heart-lung transplant 266: 113:Qualifying conditions 3407:Impulse oscillometry 3382:Body plethysmography 2740:J. Hartwell Harrison 2497:Transplant rejection 2162:Lung transplantation 1706:on 25 September 2006 1612:on 30 September 2007 1328:, June 26, 1963, p3A 899:Signs of rejection: 890:Transplant rejection 540:Bone mineral density 277:transplant rejection 87:Lung transplantation 22:Lung transplantation 3530:Hyperbaric medicine 3512:Respiratory therapy 3430:Nasopharyngeal swab 3055:Acoustic rhinometry 2849:AndrĂ© van der Merwe 2833:Richard C. Lillehei 2506:Transplant networks 2290:Xenotransplantation 2285:Autotransplantation 2273:Allotransplantation 1289:, June 13, 1963, p1 1138:on 14 November 2006 1094:10.21037/atm-20-805 991: 773:are put in so that 755:intensive care unit 749:Post-operative care 552:Cardiac stress test 329:Stanford University 323:, performed by Dr. 34:vessels and airway. 3402:Diffusion capacity 3374:Lung function test 2991:respiratory system 2704:Christiaan Barnard 2300:Organs and tissues 1672:The New York Times 1584:10.1111/jocs.16253 1003:10 years survival 989: 867: 705: 685:general anesthesia 306:heart-lung machine 302:Bronchial passages 296:and problems with 269: 227:Current or recent 130:(COPD), including 3577: 3576: 3573: 3572: 3560:Pulmonary hygiene 3550:Postural drainage 3459: 3458: 3300: 3299: 2956: 2955: 2938:Machine perfusion 2918:Edmonton protocol 2913:Biomedical tissue 2901: 2900: 2812:Vladimir Demikhov 2714:Adrian Kantrowitz 2466:Organ procurement 2225: 2224: 2128:(14): 1081–1091. 2079:(12): 1729–1735. 1781:10.1111/tri.13754 1775:(12): 1788–1798. 1306:on 2 October 2009 1259:(12): 1065–1074. 1132:"Lung Transplant" 1035: 1034: 964:allergic reaction 831:immunosuppressant 563:Electrocardiogram 281:Vladimir Demikhov 273:organ transplants 187:Contraindications 84: 83: 3607: 3468: 3467: 3464:Other procedures 3309: 3308: 3004: 3003: 2983: 2976: 2969: 2960: 2959: 2760:Michael Woodruff 2694: 2693: 2425:Medical grafting 2252: 2245: 2238: 2229: 2228: 2183: 2182: 2145: 2107: 2106: 2096: 2063: 2057: 2056: 2046: 2036: 2012: 2006: 2005: 2003: 2001: 1986: 1980: 1977: 1968: 1967: 1957: 1933: 1927: 1926: 1916: 1884: 1869: 1866: 1857: 1854: 1848: 1847: 1822:(7): 1406–1416. 1807: 1801: 1800: 1763: 1757: 1756: 1746: 1722: 1716: 1715: 1713: 1711: 1696: 1683: 1682: 1680: 1678: 1663: 1657: 1656: 1628: 1622: 1621: 1619: 1617: 1602: 1596: 1595: 1566: 1560: 1559: 1531: 1525: 1524: 1523:. July 27, 2021. 1513: 1507: 1506: 1504: 1503: 1488: 1482: 1481: 1479: 1478: 1463: 1457: 1456: 1454: 1452: 1433: 1427: 1426: 1414: 1408: 1405: 1399: 1398: 1370: 1364: 1363: 1335: 1329: 1322: 1316: 1315: 1313: 1311: 1296: 1290: 1283: 1277: 1276: 1248: 1242: 1241: 1229: 1223: 1222: 1212: 1180: 1174: 1163: 1148: 1147: 1145: 1143: 1128: 1117: 1116: 1106: 1096: 1072: 1000:5 years survival 992: 988: 857:rejection. Lung 779:urinary catheter 767:nasogastric tube 170: 160: 77:edit on Wikidata 69: 31: 19: 18: 3615: 3614: 3610: 3609: 3608: 3606: 3605: 3604: 3580: 3579: 3578: 3569: 3506: 3455: 3439: 3411: 3368: 3345: 3313:Medical imaging 3296: 3285:Mediastinoscopy 3225: 3220: 3207: 3193:Transplantation 3188:Wedge resection 3113: 2993: 2987: 2957: 2952: 2897: 2884: 2853: 2837: 2821: 2790: 2764: 2745:John P. Merrill 2728: 2685: 2640: 2619:Joint societies 2614: 2585:Blood Cancer UK 2572: 2566: 2509: 2507: 2501: 2475: 2447: 2443:Vascular bypass 2419: 2294: 2261: 2256: 2226: 2221: 2220: 2194: 2152: 2116: 2114:Further reading 2111: 2110: 2064: 2060: 2027:(8): e1910297. 2013: 2009: 1999: 1997: 1988: 1987: 1983: 1978: 1971: 1934: 1930: 1899:(7): CD012307. 1885: 1872: 1867: 1860: 1855: 1851: 1808: 1804: 1764: 1760: 1723: 1719: 1709: 1707: 1698: 1697: 1686: 1676: 1674: 1664: 1660: 1629: 1625: 1615: 1613: 1604: 1603: 1599: 1567: 1563: 1532: 1528: 1515: 1514: 1510: 1501: 1499: 1497:The Irish Times 1489: 1485: 1476: 1474: 1464: 1460: 1450: 1448: 1435: 1434: 1430: 1415: 1411: 1406: 1402: 1381:(10): 557–564. 1371: 1367: 1336: 1332: 1323: 1319: 1309: 1307: 1298: 1297: 1293: 1284: 1280: 1249: 1245: 1230: 1226: 1181: 1177: 1167:Lung Transplant 1164: 1151: 1141: 1139: 1130: 1129: 1120: 1073: 1069: 1064: 1047: 1008:Lung transplant 997:1 year survival 983: 975:atherosclerosis 939:corticosteroids 855:lung transplant 844: 836:gastroenteritis 820: 751: 727: 697: 672: 660:cardiac disease 656: 650: 642:cystic fibrosis 638: 626: 617: 612: 587: 581: 509:and subsequent 492: 412: 384: 379: 271:The history of 261: 234:Current use of 189: 168: 158: 146:cystic fibrosis 115: 103:cystic fibrosis 80: 65: 35: 17: 12: 11: 5: 3613: 3603: 3602: 3597: 3592: 3575: 3574: 3571: 3570: 3568: 3567: 3562: 3557: 3552: 3547: 3542: 3537: 3532: 3527: 3522: 3516: 3514: 3508: 3507: 3505: 3504: 3503: 3502: 3497: 3487: 3482: 3476: 3474: 3472:Oxygen therapy 3465: 3461: 3460: 3457: 3456: 3454: 3453: 3451:Blood gas test 3447: 3445: 3441: 3440: 3438: 3437: 3435:Sputum culture 3432: 3427: 3421: 3419: 3413: 3412: 3410: 3409: 3404: 3399: 3394: 3389: 3384: 3378: 3376: 3370: 3369: 3367: 3366: 3361: 3355: 3353: 3347: 3346: 3344: 3343: 3338: 3333: 3328: 3323: 3317: 3315: 3306: 3302: 3301: 3298: 3297: 3295: 3294: 3292:Nuss procedure 3288: 3287: 3282: 3280: 3272: 3271: 3266: 3261: 3256: 3251: 3246: 3244: 3241:pleural cavity 3232: 3230: 3209: 3208: 3206: 3205: 3200: 3195: 3190: 3185: 3180: 3175: 3173: 3165: 3164: 3159: 3157: 3149: 3148: 3143: 3138: 3136:Cricothyrotomy 3133: 3131: 3123: 3121: 3115: 3114: 3112: 3111: 3106: 3105: 3104: 3094: 3089: 3084: 3082: 3074: 3073: 3068: 3066: 3058: 3057: 3052: 3050:Rhinomanometry 3047: 3042: 3037: 3032: 3027: 3022: 3020: 3012: 3010: 3001: 2995: 2994: 2986: 2985: 2978: 2971: 2963: 2954: 2953: 2951: 2950: 2945: 2940: 2935: 2930: 2925: 2920: 2915: 2909: 2907: 2906:Related topics 2903: 2902: 2899: 2898: 2896: 2895: 2889: 2886: 2885: 2883: 2882: 2877: 2872: 2867: 2861: 2859: 2855: 2854: 2852: 2851: 2845: 2843: 2839: 2838: 2836: 2835: 2829: 2827: 2823: 2822: 2820: 2819: 2817:James D. Hardy 2814: 2809: 2807:Joel D. Cooper 2804: 2798: 2796: 2792: 2791: 2789: 2788: 2783: 2781:James D. Hardy 2778: 2772: 2770: 2766: 2765: 2763: 2762: 2757: 2755:Elizabeth Ward 2752: 2747: 2742: 2736: 2734: 2730: 2729: 2727: 2726: 2724:Norman Shumway 2721: 2716: 2711: 2709:James D. Hardy 2706: 2700: 2698: 2691: 2687: 2686: 2684: 2683: 2678: 2673: 2672: 2671: 2661: 2660: 2659: 2648: 2646: 2642: 2641: 2639: 2638: 2633: 2628: 2622: 2620: 2616: 2615: 2613: 2612: 2607: 2602: 2597: 2592: 2587: 2582: 2576: 2574: 2568: 2567: 2565: 2564: 2559: 2554: 2549: 2544: 2539: 2534: 2529: 2524: 2519: 2517:Eurotransplant 2513: 2511: 2508:and government 2503: 2502: 2500: 2499: 2494: 2489: 2483: 2481: 2477: 2476: 2474: 2473: 2468: 2463: 2457: 2455: 2453:Organ donation 2449: 2448: 2446: 2445: 2440: 2435: 2429: 2427: 2421: 2420: 2418: 2417: 2412: 2407: 2402: 2397: 2392: 2387: 2386: 2385: 2375: 2370: 2365: 2360: 2355: 2350: 2345: 2340: 2335: 2330: 2325: 2320: 2315: 2310: 2304: 2302: 2296: 2295: 2293: 2292: 2287: 2282: 2281: 2280: 2269: 2267: 2263: 2262: 2255: 2254: 2247: 2240: 2232: 2223: 2222: 2219: 2218: 2207: 2195: 2190: 2189: 2187: 2186:Classification 2180: 2179: 2174: 2169: 2164: 2151: 2150:External links 2148: 2147: 2146: 2115: 2112: 2109: 2108: 2058: 2021:JAMA Netw Open 2007: 1996:on 5 June 2010 1981: 1969: 1928: 1870: 1858: 1849: 1802: 1758: 1717: 1684: 1658: 1623: 1597: 1578:(4): 747–759. 1561: 1526: 1521:Independent.ie 1508: 1483: 1458: 1428: 1409: 1400: 1365: 1330: 1317: 1291: 1278: 1243: 1224: 1195:(6): 882–889. 1175: 1149: 1118: 1066: 1065: 1063: 1060: 1059: 1058: 1053: 1046: 1043: 1033: 1032: 1029: 1026: 1023: 1019: 1018: 1015: 1012: 1009: 1005: 1004: 1001: 998: 995: 982: 979: 923: 922: 919: 916: 913: 910: 907: 843: 840: 819: 816: 750: 747: 745:is performed. 735:lung functions 726: 723: 696: 693: 681:pulse oximetry 671: 668: 652:Main article: 649: 646: 637: 634: 625: 622: 616: 613: 611: 608: 583:Main article: 580: 577: 576: 575: 573:Echocardiogram 570: 565: 560: 555: 549: 543: 537: 531: 526: 519: 513: 491: 488: 487: 486: 482: 479: 476: 473: 470: 467: 464: 453: 435: 434: 433: 422: 419: 411: 408: 407: 406: 403: 400: 399: 398: 392: 383: 380: 378: 375: 367:Mater Hospital 355: 354: 351: 344: 260: 257: 256: 255: 252: 249: 246: 232: 225: 224: 223: 208: 201:kidney disease 188: 185: 184: 183: 176:bronchiectasis 172: 166: 156: 149: 142: 135: 114: 111: 82: 81: 74: 71: 70: 63: 57: 56: 51: 45: 44: 41: 37: 36: 32: 24: 23: 15: 9: 6: 4: 3: 2: 3612: 3601: 3598: 3596: 3593: 3591: 3588: 3587: 3585: 3566: 3563: 3561: 3558: 3556: 3553: 3551: 3548: 3546: 3543: 3541: 3538: 3536: 3533: 3531: 3528: 3526: 3523: 3521: 3518: 3517: 3515: 3513: 3509: 3501: 3498: 3496: 3493: 3492: 3491: 3488: 3486: 3483: 3481: 3478: 3477: 3475: 3473: 3469: 3466: 3462: 3452: 3449: 3448: 3446: 3442: 3436: 3433: 3431: 3428: 3426: 3423: 3422: 3420: 3418: 3414: 3408: 3405: 3403: 3400: 3398: 3395: 3393: 3390: 3388: 3385: 3383: 3380: 3379: 3377: 3375: 3371: 3365: 3362: 3360: 3357: 3356: 3354: 3352: 3348: 3342: 3339: 3337: 3334: 3332: 3329: 3327: 3324: 3322: 3321:Bronchography 3319: 3318: 3316: 3314: 3310: 3307: 3303: 3293: 3290: 3289: 3286: 3283: 3281: 3279: 3278: 3274: 3273: 3270: 3267: 3265: 3262: 3260: 3257: 3255: 3252: 3250: 3249:Thoracentesis 3247: 3245: 3243: 3242: 3238: 3234: 3233: 3231: 3229: 3223: 3218: 3214: 3210: 3204: 3201: 3199: 3198:Decortication 3196: 3194: 3191: 3189: 3186: 3184: 3181: 3179: 3178:Pneumonectomy 3176: 3174: 3172: 3171: 3167: 3166: 3163: 3160: 3158: 3156: 3155: 3151: 3150: 3147: 3144: 3142: 3139: 3137: 3134: 3132: 3130: 3129: 3125: 3124: 3122: 3120: 3116: 3110: 3107: 3103: 3100: 3099: 3098: 3095: 3093: 3090: 3088: 3085: 3083: 3081: 3080: 3076: 3075: 3072: 3069: 3067: 3065: 3064: 3060: 3059: 3056: 3053: 3051: 3048: 3046: 3043: 3041: 3038: 3036: 3033: 3031: 3028: 3026: 3023: 3021: 3019: 3018: 3014: 3013: 3011: 3009: 3005: 3002: 3000: 2996: 2992: 2984: 2979: 2977: 2972: 2970: 2965: 2964: 2961: 2949: 2946: 2944: 2941: 2939: 2936: 2934: 2931: 2929: 2926: 2924: 2921: 2919: 2916: 2914: 2911: 2910: 2908: 2904: 2894: 2891: 2890: 2887: 2881: 2878: 2876: 2875:Donna Mansell 2873: 2871: 2868: 2866: 2865:Alexis Carrel 2863: 2862: 2860: 2856: 2850: 2847: 2846: 2844: 2840: 2834: 2831: 2830: 2828: 2824: 2818: 2815: 2813: 2810: 2808: 2805: 2803: 2800: 2799: 2797: 2793: 2787: 2786:Thomas Starzl 2784: 2782: 2779: 2777: 2774: 2773: 2771: 2767: 2761: 2758: 2756: 2753: 2751: 2750:Joseph Murray 2748: 2746: 2743: 2741: 2738: 2737: 2735: 2731: 2725: 2722: 2720: 2719:Richard Lower 2717: 2715: 2712: 2710: 2707: 2705: 2702: 2701: 2699: 2695: 2692: 2688: 2682: 2679: 2677: 2674: 2670: 2667: 2666: 2665: 2662: 2658: 2655: 2654: 2653: 2650: 2649: 2647: 2643: 2637: 2634: 2632: 2629: 2627: 2624: 2623: 2621: 2617: 2611: 2608: 2606: 2603: 2601: 2598: 2596: 2593: 2591: 2588: 2586: 2583: 2581: 2580:Anthony Nolan 2578: 2577: 2575: 2573:organizations 2569: 2563: 2560: 2558: 2555: 2553: 2550: 2548: 2545: 2543: 2540: 2538: 2535: 2533: 2530: 2528: 2525: 2523: 2520: 2518: 2515: 2514: 2512: 2504: 2498: 2495: 2493: 2490: 2488: 2485: 2484: 2482: 2480:Complications 2478: 2472: 2469: 2467: 2464: 2462: 2459: 2458: 2456: 2454: 2450: 2444: 2441: 2439: 2438:Skin grafting 2436: 2434: 2433:Bone grafting 2431: 2430: 2428: 2426: 2422: 2416: 2413: 2411: 2408: 2406: 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Index


ICD-9-CM
33.5
MeSH
D016040
edit on Wikidata
lungs
lung lobe
cystic fibrosis
end stage pulmonary disease
United States
chronic obstructive pulmonary disease
emphysema
idiopathic pulmonary fibrosis
cystic fibrosis
idiopathic (formerly known as "primary") pulmonary hypertension
alpha 1-antitrypsin deficiency
bronchiectasis
sarcoidosis
congestive heart failure
kidney disease
liver disease
HIV
hepatitis
cancer
alcohol
tobacco
illegal drugs

organ transplants

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