Interstitial Lung Disease/Lung Transplantation 

Author: Paul Schipper, MD
Institution: OHSU
Date Reviewed: 2024
Original Case: Michael Mulligan, MD; Edward Verrier, MD
Learning Domain: General Thoracic
Learning Objective: Diagnosis and Management of large mass in the RLL
PowerPoint File: Interstitial Lung Disease/Lung Transplantation

 

Discussion Points for Conference

  • Etiologies of Interstitial Lung disease
  • Single lung vs Double Lung transplant
  • Operative approach
  • Bil. anterolateral thoracotomies
  • Clam shell incision
  • Immunosuppression
  • Use of Ex-vivo perfusion circuits for lung resuscitation

 

Course

  • Double lung transplant
  • Ex-vivo perfusion for donor resuscitation
  • Benign post operative course

 

Learning Points

  • Ex vivo Perfusion can resuscitate marginal lung donors
  • Double lung transplant may not provide a survival advantage for IPF compared to single lung tx
  • Double lung transplant may offer better resistance to BOS
  • Marginal lungs provide better outcomes when used as double lungs