Single vs Double Lung Transplant

The preferred procedure in most patients is single lung transplantation. A posterolateral thoracotomy is performed with the patient in the lateral position, but with one groin exposed to allow cannulation of femoral vessels for car-diopulmonary bypass. If double lung transplantation is indicated, it is usually accomplished using sequential single lung transplants using the clamshell thoracosternotomy in the supine position. Again, at least one groin is exposed. The native lung with the most severe pathology should be transplanted first.

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