Pulmonary Fibrosis Lung Transplant

Pulmonary Fibrosis Lung Transplant

The choice to execute a single or double lung transplantation depends mainly on the kind of lung disease a patient has. In the event the disease entails infection (e.g. cystic fibrosis), then both lungs must be transplanted. But if the lungs are damaged but not infected (e.g., emphysema), then one lung can be left in place. Patients with pulmonary hypertension fared better if they have a double lung transplant. Age may also be a variable. Older adults often have more problems after a double lung transplant because it is a longer and more complex surgery. Thus, they do better with a single lung transplant, when possible.

In the instance of a single lung transplant, the lung that's most damaged is the one that is transplanted. This is determined by a test known as ventilation-perfusion scan, which shows the blood flow to various areas of the lungs. Regions that indicate less blood flow would be those with the larger damage.

For pulmonary fibrosis patients, lung transplant is often the ideal choice for extending life and improving wellbeing. Since PF is a progressive disease with no current treatment, the lungs eventually become too bloated to operate. A lung transplant can give PF patients another chance. However, the procedure is not without dangers and is not a first-line option.

Transplant statistics demonstrate that PF is currently the leading cause for transplant. Data from 2013 revealed that nearly half of all given lungs moved to PF patients. As a result of improvements in transplant techniques, it's now feasible for lung transplants to be successful even for some candidates over age 65.

Lung transplant for pulmonary fibrosis sufferers has become more and more prevalent due to the disease's poor prognosis, and the promising survival rates of people who have received lung transplants.

Specialists usually exhaust other treatment choices before indicating lung transplantation. Oxygen treatment, pulmonary rehabilitation, lifestyle changes, and prescription medications for controlling the development of this disease (such as Esbriet and Ofev) are used first to slow the decline of lung function. When pulmonary fibrosis advances to the stage that lungs can no longer provide ample oxygen to the blood, transplant could be advised.

The Pulmonary Fibrosis Foundation lists the following criteria for lung transplant:

  • Be in good physical condition besides lung function,
  • Maintain ideal body weight,
  • Have no additional life threatening ailments,
  • Demonstrate absolute compliance with prescribed medications and medical recommendations,
  • Have a realistic understanding of the emotional implications of a lung transplant,
  • Have a very supportive social aid system set up,
  • Have engaged in a pulmonary rehabilitation program,
  • Expect to take part in educational seminars and a support group,
  • Consider the fiscal implications of this process.

During the Procedure

Although the majority of our lung transplant patients do not require the assistance of the machine that is reconditioned, a heart-lung bypass machine is on standby throughout the surgery in case it becomes necessary to utilize this equipment to temporarily take over the work of their heart and lungs by draining and oxygenating the bloodvessels.

Though the patient is under general anesthesia, the surgeon makes an incision in the chest. If it's a single lung transplant, the incision is made on the left or right side, depending on which lung has been replaced. A double (bilateral) transplant takes an incision across the chest beneath the breast region.

The donor organ, which was chilled to maintain it till transplantation, has to be transplanted within six hours after being removed from the donor. As soon as the new lung(s) arrives from the operating room, the receiver's lung is instantly removed and the donor organ is set in the torso cavity. When it's a double transplant, the organ with the poorest function is removed first and replaced.

Once the new organ is in place, the surgeon connects the pulmonary artery, pulmonary vein and the major airway (bronchus) of the donor organ into the individual's vessels and pus. Drainage tubes are inserted to drain air, fluid, and blood out of the chest for several days to permit the lungs to fully re-expand. To get more details best lungs transplant treatment in Hyderabad, Visit Us

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