|
|
||||||||
Ann Thorac Surg 1994;57:92-95
© 1994 The Society of Thoracic Surgeons
Division of Cardiovascular and Thoracic Surgery, University of Minnesota, Minneapolis, Minnesota, USA
* Address reprint requests to Dr Shumway, Box 207 UMHC, 420 Delaware St SE, Minneapolis, MN 55455.
Since March 1986, we have performed 26 heart-lung transplantations, 42 single-lung transplantations, 9 bilateral single-lung transplantations, and 1 double-lung transplantation. The original lung donor requirements were as follows: age less than 40 years, no smoking history; no gram-negative rods or fungus on sputum Gram stain; arterial oxygen tension greater than 140 mm Hg on an inspired oxygen fraction of 0.40; no infiltrate or pneumothorax on the chest radiograph; and donor height within 15 cm (6 inches) of recipient height. As the number of potential recipients increased, so did the waiting time. To counter this delay, during the past year we have liberalized our donor criteria. We now accept lung donors up to age 60 years. Any kind of smoking history is acceptable unless there is chronic obstructive pulmonary disease or pulmonary fibrosis on the chest radiograph. Sputum must be free from fungus, but gram-negative rods are treated with appropriate antibiotics. The arterial oxygen tension on an inspired oxygen fraction of 0.40 should be greater than 100 mm Hg, and a small pulmonary infiltrate is not worrisome. This liberalization of the donor pool for lung and heart-lung transplantation has not adversely affected early outcome.
This article has been cited by other articles:
![]() |
D. V. Raemdonck, W. Coosemans, W. Klepetko, J. H. Dark, S. Steen, and F. Rega Alternatives to lung donor shortage Surgery for Non-Neoplastic Disorders of the Chest: a Clinical Update, June 28, 2010; 89 - 112. [Abstract] [Fulltext] [PDF] |
||||
![]() |
D. E. M. Van Raemdonck, G. M. Verleden, W. Coosemans, H. Decaluwe, G. Decker, P. De Leyn, P. Nafteux, and T. Lerut Increasing the donor pool Lung Transplantation, June 7, 2010; 104 - 127. [Abstract] [Fulltext] [PDF] |
||||
![]() |
D. Van Raemdonck, A. Neyrinck, G. M. Verleden, L. Dupont, W. Coosemans, H. Decaluwe, G. Decker, P. De Leyn, P. Nafteux, and T. Lerut Lung Donor Selection and Management Proceedings of the ATS, January 15, 2009; 6(1): 28 - 38. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. Y. Sheikh, M. P. Pelletier, and R. C. Robbins Heart-Lung and Lung Transplantation Card. Surg. Adult, January 1, 2008; 3(2008): 1579 - 1608. [Full Text] |
||||
![]() |
P. Botha, D. Trivedi, C. P. Searl, P. A. Corris, S. V.B. Schueler, and J. H. Dark Differential Pulmonary Vein Gases Predict Primary Graft Dysfunction Ann. Thorac. Surg., December 1, 2006; 82(6): 1998 - 2002. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. C. Chang and J. B. Orens Are there more lungs available than currently meet the eye? Am. J. Respir. Crit. Care Med., September 15, 2006; 174(6): 624 - 625. [Full Text] [PDF] |
||||
![]() |
L. F. Angel, D. J. Levine, M. I. Restrepo, S. Johnson, E. Sako, A. Carpenter, J. Calhoon, J. E. Cornell, S. G. Adams, G. B. Chisholm, et al. Impact of a Lung Transplantation Donor-Management Protocol on Lung Donation and Recipient Outcomes Am. J. Respir. Crit. Care Med., September 15, 2006; 174(6): 710 - 716. [Abstract] [Full Text] [PDF] |
||||
![]() |
B. A. Whitson, D. S. Nath, A. C. Johnson, A. R. Walker, M. E. Prekker, D. M. Radosevich, C. S. Herrington, and P. S. Dahlberg Risk factors for primary graft dysfunction after lung transplantation J. Thorac. Cardiovasc. Surg., January 1, 2006; 131(1): 73 - 80. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. Lardinois, M. Banysch, S. Korom, S. Hillinger, V. Rousson, A. Boehler, R. Speich, and W. Weder Extended donor lungs: eleven years experience in a consecutive series Eur J Cardiothorac Surg, May 1, 2005; 27(5): 762 - 767. [Abstract] [Full Text] [PDF] |
||||
![]() |
A J Fisher, S C Donnelly, G Pritchard, J H Dark, and P A Corris Objective assessment of criteria for selection of donor lungs suitable for transplantation Thorax, May 1, 2004; 59(5): 434 - 437. [Abstract] [Full Text] [PDF] |
||||
![]() |
V. S. Avlonitis, A. Krause, L. Luzzi, H. Powell, J. A. Phillips, P. A. Corris, F. K. Gould, and J. H. Dark Bacterial colonization of the donor lower airways is a predictor of poor outcome in lung transplantation Eur J Cardiothorac Surg, October 1, 2003; 24(4): 601 - 607. [Abstract] [Full Text] [PDF] |
||||
![]() |
L. B. Balsam, D. D. Yuh, R. C. Robbins, and B. A. Reitz Heart-Lung and Lung Transplantation Card. Surg. Adult, January 1, 2003; 2(2003): 1461 - 1490. [Full Text] |
||||
![]() |
D. Weill Donor Criteria in Lung Transplantation* : An Issue Revisited Chest, June 1, 2002; 121(6): 2029 - 2031. [Abstract] [Full Text] [PDF] |
||||
![]() |
A. F. Pierre, Y. Sekine, M. A. Hutcheon, T. K. Waddell, and S. H. Keshavjee Marginal donor lungs: A reassessment J. Thorac. Cardiovasc. Surg., March 1, 2002; 123(3): 421 - 428. [Abstract] [Full Text] [PDF] |
||||
![]() |
R. Speich and W. van der Bij Epidemiology and Management of Infections after Lung Transplantation Clinical Infectious Diseases, July 1, 2001; 33(Supplement_1): S58 - S65. [Abstract] [Full Text] [PDF] |
||||
![]() |
D. M. Meyer, L. E. Bennett, R. J. Novick, and J. D. Hosenpud Effect of Donor Age and Ischemic Time on Intermediate Survival and Morbidity After Lung Transplantation Chest, November 1, 2000; 118(5): 1255 - 1262. [Abstract] [Full Text] [PDF] |
||||
![]() |
E. GABBAY, T. J. WILLIAMS, A. P. GRIFFITHS, L. M. MACFARLANE, T. C. KOTSIMBOS, D. S. ESMORE, and G. I. SNELL Maximizing the Utilization of Donor Organs Offered for Lung Transplantation Am. J. Respir. Crit. Care Med., July 1, 1999; 160(1): 265 - 271. [Abstract] [Full Text] |
||||
![]() |
A J FISHER, J H DARK, and P A CORRIS Improving donor lung evaluation: a new approach to increase organ supply for lung transplantation Thorax, October 1, 1998; 53(10): 818 - 820. [Full Text] |
||||
| HOME | HELP | FEEDBACK | SUBSCRIPTIONS | ARCHIVE | SEARCH | TABLE OF CONTENTS |
| ANN THORAC SURG | ASIAN CARDIOVASC THORAC ANN | EUR J CARDIOTHORAC SURG |
| J THORAC CARDIOVASC SURG | ICVTS | ALL CTSNet JOURNALS |