Lung and heart lung transplantation

Stuart C. Sweet, Charles B. Huddleston

Research output: Chapter in Book/Report/Conference proceedingChapter

Abstract

Lung and heart-lung transplantation has become an accepted therapeutic option for children with end-stage pulmonary parenchymal and vascular disease. In the past 25 years, nearly 1,800 lung and 700 heart-lung procedures have been reported worldwide in children. As experience with bilateral lung transplantation has grown, indications for heart-lung transplant have diminished. The latter procedure now makes up less than 10 % of the combined total each year. In spite of steady improvements in survival, mostly related to better early outcomes, long-term survival rates for pediatric lung and heart-lung recipients remain worse than those in other solid organ transplants. As the lung is continually exposed to the environment through the airway, it is thought that exposure to infectious agents and toxins is responsible for higher rates of infection and immunologic complications such as bronchiolitis obliterans, which is the major cause of long-term morbidity and mortality. Ongoing research related to prevention and treatment of bronchiolitis obliterans and other posttransplant complications is needed to improve quality of life and survival in this population of patients.

Original languageEnglish
Title of host publicationPediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care
PublisherSpringer-Verlag London Ltd
Pages2851-2879
Number of pages29
ISBN (Electronic)9781447146193
ISBN (Print)9781447146186
DOIs
StatePublished - Jan 1 2014

Keywords

  • Acute rejection
  • Adherence
  • Antibody-mediated rejection
  • Bronchiolitis obliterans
  • Congenital heart disease
  • Cystic fibrosis
  • Heart-lung transplantation
  • Immunosuppression
  • Interstitial lung disease
  • Living donor transplant
  • Lung transplantation
  • Organ allocation
  • Pediatric transplantation
  • Posttransplant lymphoproliferative disease
  • Pulmonary hypertension
  • Quality of life
  • Surfactant protein deficiency

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  • Cite this

    Sweet, S. C., & Huddleston, C. B. (2014). Lung and heart lung transplantation. In Pediatric and Congenital Cardiology, Cardiac Surgery and Intensive Care (pp. 2851-2879). Springer-Verlag London Ltd. https://doi.org/10.1007/978-1-4471-4619-3_135