heart-lung transplant

(redirected from Combined heart-lung transplantation)

heart-lung transplant

The insertion of a donated heart with its associated lungs, connected as a unit, into the chest of a patient with severe destructive heart and lung disease. The operation involves fewer major connections than a heart transplant, but immunological reactions may be greater and the connection to the windpipe (trachea) may cause problems. A common rejection reaction is a severe inflammation of the small bronchi, called obliterative bronchiolitis. Even so, the results are remarkable and about 70' of patients are alive and well 2 years after the operation.
References in periodicals archive ?
This is likely due to the prevalence of PPH in these patients and difficulty in finding suitable donor organs, especially when combined heart-lung transplantation is indicated.
Delcroix, "Extensive dissection of the pulmonary artery treated with combined heart-lung transplantation," Journal of Thoracic and Cardiovascular Surgery, vol.
Hoffman, "Combined heart-lung transplantation: a perspective on the past and the future," Pediatric Cardiology, 2012.
"Combined heart-lung transplantation is becoming less common because of severe donor organ shortages and it is remarkable that our team was able to carry out these two operations."
The expanded coverage includes heart valve repair or replacement, percutaneous transluminal coronary angioplasty (PTCA) or coronary stenting, and heart or combined heart-lung transplantation. These CMS changes are important because private insurers usually follow suit.

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