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The Journal of Thoracic and Cardiovascular Surgery, Vol 106, 463-465, Copyright © 1993 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association

ARTICLES

Early experience with sequential bilateral lung transplantation

M Grimm, W Wisser, A End, M Hiesmayr, OC Burghuber, H Ringl, A Stift, D Oturanlar, G Wollenek and G Grimm
Second Department of Surgery, University of Vienna, Austria.

We performed 20 sequential bilateral lung transplantation in 19 consecutive patients from April 1990 to May 1992. Perioperative mortality was low (2 patients). One-year actuarial survival was 70%. All survivors had normal blood oxygen tension (82 mm Hg, mean) while breathing room air and continuing improvement of pulmonary function. Bronchial dehiscence did not occur. Stents were implanted in 7 patients to control bronchial stenosis. Aggressive treatment of graft rejection has been effective in preventing obliterative bronchiolitis.

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