Korean J Thorac Cardiovasc Surg.  2003 Feb;36(2):101-104.

The Single Lung Transplantation for End-Stage Emphysema by Functional Criteria

• Cho HM
• Paik HC
• Kim DH
• Kang DY
• Lee DY

Abstract

Although lung transplantation has been accepted as the most effective treatment for end-stage pulmonary emphysema, it is not only very hard to find a donor but also to obtain a relatively healthy lung. Furthermore, it is more difficult to match the size of the allograft, considering the height, the weight, and the size of the thoracic cage. The single lung transplatations for the end-stage emphysema have been more commonly performed than bilateral lung transplantation due to the shortage of the donors and the long-term survival rate of the single lung transplantations has shown no reasonable difference compared with that of the bilateral lung transplantations. Recently, the functional criteria based on a comparison of predicted TLCs(Total Lung Capacities) of the donor and recipient according to height, sex and age, have been accepted as a more suitable.

Keyword

Emphysema; Lung transplantation; Pulmonary function test

MeSH Terms

Allografts
Emphysema*
Humans
Lung Transplantation*
Lung*
Pulmonary Emphysema
Respiratory Function Tests
Survival Rate
Tissue Donors