Heart Lung Transplantation
Guest: Philip J. Spencer, MD and Richard C. Daly, MD
Host: Kyle Klarich, MD
Overview:
Heart lung transplantation is the transplant of the combined heart-lung organ bloc from a donor into a recipient who has end-stage disease of both the heart and the lungs. This is often necessary because the disease in 1 of the organs (the heart or the lungs) caused the disease in the other organ system. For example, pulmonary hypertension might cause gradual but irreversible right ventricular failure in the heart. The prognosis after heart-lung transplantation is similar to patients who receive isolated lung transplantation.
Questions:
1. Can you describe heart-lung transplantation and why it is unique (tracheal anastomosis, heart and lungs transplanted as a block)
2. Why is this operation uncommon?
3. What types of disease is would require heart-lung transplantation?
4. Is the prognosis after heart-lung transplantation more similar to heart transplant or lung transplant survival?
5. Are their immunologic advantages to en bloc heart-lung transplantation?
Length: 00:00:00