When does a patient require a lung transplant?
Patients with end-stage lung disease – whose lungs can no longer obtain sufficient oxygen for the body, require lung transplantation. You may download the criteria for Lung Recipients here:Lung Transplant Referral Criteria.pdf
Common end-stage lung diseases which require Lung Transplantation include:- Chronic Obstructive Pulmonary Disease (COPD) - Idiopathic Pulmonary Fibrosis (IPF) - Bronchiectasis - Pulmonary Hypertension (Primary and Secondary)
Symptoms of failure
A person with lung failure may experience the following symptoms:- Shortness of breath- Frequent coughing, especially when lying down - Swollen feet, ankles, and legs due to fluid buildup - Abdominal swelling and pain - Fatigue - Dizziness or fainting
Eligibility of transplant
Patients suffering from end-stage lung disease and under the age of 60 are eligible for lung transplant. The doctor, patient and family must address the following four basic questions to determine whether a transplant should be considered:- Have all other medical therapies been tried or ruled out? - Is the patient likely to die without the transplant? - Is the patient generally in good health other than suffering from heart disease? - Can the patient adhere to the lifestyle changes which include complex drug treatments and frequent medical examinations, required after a transplant?
Patients who do not meet the above criteria or suffer from other severe diseases, active infections or severe obesity, are not eligible for a lung transplant.
For lung transplant candidates, members of the transplant team, including the pulmonologist, surgeon, and clinical coordinator will review the patients' underlying lung condition and prospects of a successful transplant.
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