Single versus bilateral lung transplantation
Following the initial success with heart/lung transplantation in Stanford (8), the first successful single lung transplant was accomplished by the Toronto team in 1983 (9). In recent years phenomenal progress has been made in the application of lung transplantation for patients with end-stage pulmonary disease. Experiences of individual groups have challenged old dogmas and led to new approaches in all facets of lung transplantation. However, it still remains in debate which form of lung transplantation represents the optimal treatment for the specific indications. Despite the clinical acceptance of both, single and double lung transplantation, their role and potential has still to be determined. This refers to the clarification of the ideal indications, to the functional benefit, as well as to the long-term outcome that can be reached with each technique. In this chapter, the various aspects of single and double lung transplantation are discussed.
KeywordsIschemia Corticosteroid Hunt Stake Clarification
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