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03-18-2009, 10:58 AM
Lung transplantation
Indications:
1- Pulmonary fibrosis 2- 1 ry pulmonary hypertension
3- Cystic fibrosis 4- Bronchiectasis
5- α1antitrypsin ¯ 6-Eisenmengr’s $
N.B • Single lung transplant can be done in emphysema, pulmonary fibrosis, pulmonary hypertension.
• Bilateral lung transplantation in infective conditions to present spread of infection to the transplant
• Heart and Lung transplant à in Eisenmenger’s $




Complication of transplantation
1- Early post transplantation pulmonary edema à diuretics
2- Infections
Bacterial à Ab
CMV à Ganciclovir
Herpes’s à Acyclovir
P. carinii à Sutrim
3- lmmunosuppression
4- Rejection • Early (few wks) à I. V steroids
• Late (3 m) à
­­ Dose steroids.

Source: Internal Medicine Book of Dr.Osama Mahmoud (Ain Shams University)