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Advanced Lung Disease Transplant Services

Preparing for Surgery

Before the procedure

If you are going to receive a lung from an organ donor who has died (cadaver), you will be placed on a waiting list of the United Network for Organ Sharing (UNOS.) The average person waits around two years for a single lung transplant, and as long as three years for two lungs. People who are unable to wait that long may be considered for lung transplant from a living donor.
Because of the wide range of information necessary to determine eligibility for transplant, the evaluation process is carried out by a transplant team. The team includes a transplant surgeon, a transplant pulmonologist (physician specializing in the treatment of the lungs), one or more transplant nurses, a social worker, and a psychiatrist or psychologist. Additional team members may include a dietician, a chaplain, and/or an anesthesiologist.
Components of the transplant evaluation process include, but are not limited to, the following:

The transplant team will consider all information from interviews, your medical history, physical examination, and diagnostic tests in determining your eligibility for lung transplantation.
Once you have been accepted as a transplant candidate, you will be placed on the United Network for Organ Sharing (UNOS) list. When a donor organ is available, lung recipients are selected based on blood type, geographic location (distance between donor and recipient), and lung allocation score. This score is based on medical urgency rather than length of time on the waiting list. You will be notified and told to come to the hospital immediately so you can be prepared for the transplant.

If you are to receive a lung from a living donor, the transplant may be performed at a planned time. The potential donor(s) must have a compatible blood type and be in good health. A psychological test will be conducted to ensure the donor is comfortable with the decision.
The following steps will precede the transplant:

 

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