Table 12.2. Contraindications to lung transplantation


Acutely ill/unstable

Uncontrolled tuberculosis

Uncontrolled sepsis Uncontrolled neoplasm Current smoker Psychosocial problems Inadequate resources HIV infection Irreversible CNS injury


Systemic diseases with failure of nonpulmonary vital organs

Cardiac disease (coronary artery disease, ventricular dysfunction Ongoing high-dose corticosteroids Age >65 years

Unsatisfactory nutritional status Osteoporosis Medical noncompliance Mechanical ventilation

Table 12.3. Scheme for evaluation of potential lung transplant recipients

• Medical history and physical examination

• Chest radiograph, electrocardiogram, and routine blood chemistries

• ABO blood typing, HLA typing and panel of reactive antibodies

• Serologic tests for hepatitis A, B, and C; HIV, cytomegalovirus

• Pulmonary studies

- Standard pulmonary function testing, arterial blood gases

- Quantitative ventilation/perfusion scanning

- Cardiopulmonary exercise testing

- CT of the chest

• Cardiovascular Studies

- Radionuclear ventriculography

- Doppler echocardiography (with saline contrast)

- Right heart catheterization with angiography

- Transesophageal echocardiography

• Rehabilitation Assessment

- Six-minute walk test

- Determination of supplemental oxygen requirements

• Psychosocial Evaluation

• Nutritional Assessment

Your Heart and Nutrition

Your Heart and Nutrition

Prevention is better than a cure. Learn how to cherish your heart by taking the necessary means to keep it pumping healthily and steadily through your life.

Get My Free Ebook

Post a comment