heart-lung transplant


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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 ?
After people receive heart-lung transplants two-thirds will survive for a year and almost as many for two years.
Meanwhile, at 18 and weighing just five-and-a-half stone, Julie was referred by a specialist to Brompton Hospital in London, but her health deteriorated and doctors broke the news she would need a heart-lung transplant to live.
Graft rejection in the heart-lung transplant recipient can include both cardiac as well as pulmonary symptoms.
Surgical incisions are determined by the organ to be replaced: lateral thoracotomy for single lung transplant; transverse thoracosternotomy ("clam shell") for bilateral lung replacement; or median sternotomy for heart-lung transplant (see Figure 1).
In the spring of 2000, doctors recommended that she receive a heart-lung transplant, but the family could not afford the $500,000 operation, and they did not qualify for Medicaid, given their status as illegal immigrants.
A TEENAGE girl underwent a second heart-lung transplant yesterday, two weeks after a botched operation with organs of the wrong blood type left her near death.
However, Vivienne Nathanson, head of science and ethics at the British Medical Association, said: "We would find it unacceptable for doctors to discount people with Down's Syndrome for a heart-lung transplant just because they have this disorder.
Take the case of Sandra Jensen, a thirty-five-year-old woman with Down syndrome who needed a heart-lung transplant.
The condition of a woman with Down syndrome who underwent heart-lung transplant surgery has been downgraded from fair to critical after she was unable to continue breathing on her own.
The first heart-lung transplant was performed in this country in 1981.
The other heart-lung transplant centers are all run by cardiac surgeons oriented toward cardiac-failure diseases.