Surgical Techniques of Single and Bilateral Lung Transplantation

  • H. A. Gaissert
  • G. A. Patterson


Over the past decade, single (SLTx) and bilateral (BLTx) lung transplantation have become accepted therapies for patients with end-stage lung disease. The choice between SLTx and BLTx has been primarily determined by the underlying disease process. Suppurative disorders, such as cystic fibrosis or bronchiectasis, require obligatory replacement of both lungs. Conversely, adequate correction of the physiologic defect in pulmonary fibrosis and pulmonary hypertension has been achieved with SLTx. Emphysema was originally treated with double lung or combined heart-lung transplantation so as to avoid compression of a single lung allograft by the overly compliant contralateral native lung following SLTx. Subsequent experience showed that replacement of a single lung was well tolerated. The persistent shortage of donor organs necessitates the use of single lung allografts in suitable patients to allow organ sharing. However, current data suggest that there is a survival advantage for recipients of bilateral grafts[1] (Chapters 65 and 69). Yet providing an individual patient with two grafts may conflict with the needs of the total recipient population. This issue is particularly acute for patients with chronic obstructive lung disease.


Cystic Fibrosis Pulmonary Hypertension Lung Transplantation Double Lumen Tube Single Lung 
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© Kluwer Academic Publishers 1996

Authors and Affiliations

  • H. A. Gaissert
  • G. A. Patterson

There are no affiliations available

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