Lung transplantation lung transplantation offers hope for improved survival and quality of life for selected patients with end stage lung disease the availability of suitable donor organs and preservation injury remain the initial limiting factors to successful transplantation. Hemodynamic instability adequate monitoring of the post operative heart transplant patient is essential recently published international society for heart and lung transplantation ishlt guidelines for the peri operative monitoring of both adult and pediatric heart transplant recipients are detailed in table 1 1 of these standard pediatric monitoring would include all except assessment . A comprehensive text from the leading transplant centres on the medical management of thoracic organ transplantation covering the assessment of patients for possible transplantation through to managing patients after transplantation including any possible complications and shared care aspects of . Heart lung transplantation is the procedure of choice for selected patients with concomitant end stage heart failure and end stage lung disease combined heart and lung transplantation is limited to patients in whom it offers the only surgical option for their end stage cardiac and pulmonary disease. Lung transplantation in high risk patients cleveland clinics lung and heart lung transplant program has gained significant expertise in the management and successful transplantation of recipients who are older than 65 have concomitant cad or may need liver lung or heart lung transplantation
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