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)