I NCREASED UNDERSTANDING AND AWARENESS OF congenital cardiac disease has allowed early identification of these children. Advances in surgical techniques, anesthesia, and medical treatment have rendered the majority of forms of congenital cardiac defects treatable. Therefore, the incidence of pulmonary hypertension related to the Eisenmenger syndrome should decrease. However, some patients need ...

BACKGROUND There is controversy over whether colonization with drug-resistant organisms is a contraindication to lung transplantation. METHODS We undertook a retrospective review of the results of lung transplantation for patients with cystic fibrosis (CF) at Duke University Medical Center. RESULTS As of May 1996, 21 patients with CF underwent bilateral lung transplantation. The first patie...

Chronic rejection after lung transplantation is manifested as obliterative bronchiolitis (OB). The development of de novo lymphoid tissue (lymphoid neogenesis) may contribute to local immune responses in small airways. Compared with normal lungs, the lung tissue of 13 lung transplant recipients who developed OB demonstrated a significantly larger number of small, airway-associated, peripheral n...

Lung transplantation is the last resort for treatment of advanced lung disease or irreversible lung failure. The different types of acquired or genetic lung diseases that should be considered for lung transplantation include chronic obstructive pulmonary disease, emphysema, alpha-1 antitrypsin deficiency, cystic fibrosis and other causes of bronchiectasis, idiopathic pulmonary fibrosis, non-spe...

BACKGROUND/AIM In order to actualize an efficient lung transplantation program, it is necessary to determine priorities and set up strategies. This study aimed to estimate the present situation in Turkey by determining the level of interest and knowledge of pulmonologists and thoracic surgeons regarding lung transplantation. MATERIALS AND METHODS A questionnaire was prepared to establish the ...

Over the last decade, lung transplantation has become a 'viable option for patients with end-stage lung disease. Due to the relatively small number of lung transplants done nationally, little experience has been gained in the outcome and management of pregnancies in the post-lung transplant patient, and little published data exist to assist the patient's physician regarding issues related to pr...

Patients with end-stage emphysema can be offered lung volume reduction surgery (LVRS), lung transplantation, or unilateral lung transplantation combined with contralateral LVRS if necessary, depending on multiple factors including age, lung function parameters, lobar predominance, and whether the disease is uni- or bilateral. Lung transplant is a complex and well-established therapeutic modalit...

OBJECTIVE Extracorporeal membrane oxygenation as a bridge to lung transplantation has traditionally been associated with substantial morbidity and mortality. A major contributor to these complications may be weakness and overall deconditioning secondary to pretransplant critical illness and immobility. In an attempt to address this issue, we developed a collaborative program to allow for active...

Chylopericardium is an uncommon condition, reported to occur following routine cardiac surgery, orthotopic heart transplantation, cardiac trauma, intrathoracic tumors, or infection. It has not, to date, been reported following uncomplicated orthotopic lung transplantation. This article describes chylopericardium following bilateral orthotopic lung transplantation.

Background: Over the past two decades there have been significant improvements in the quality of life and long-term survival of lung transplant patients. Nevertheless, it has been noted that a number of malignancies have developed in lung-transplant recipients pursuant to lung transplantations. It is therefore important for medical practitioners, other health care workers, and the public to be ...