The University of Arizona
Department of Surgery
 

Lung Transplant Surgery

For those patients with end-stage, non-malignant lung disease, lung transplantation at UMC is a lifesaving and a life-improving procedure. Our lung transplant team is dedicated to a multidisciplinary approach to patient care, allowing our patients the chance to receive the most thorough care possible.

 

 

Lung Transplant

End stage lung disease can be caused by many different diseases. The top four diseases that indicate lung transplant are:

  • Chronic obstructive pulmonary disease (COPD)
  • Idiopathic pulmonary fibrosis (IPF)
  • Pulmonary hypertension
  • Cystic fibrosis
  • Currently, the most common indication is COPD .

Heart/Lung Transplant

Heart/Lung transplantation is a procedure reserved for those patients whose lives would not be improved from a heart or lung transplant alone. These patients usually suffer from end stage cardiopulmonary disease caused by one of the following:

  • Complex congenital disease with pulmonary hypoplasia or Eisenmenger syndrome
  • Primary pulmonary hypertension
  • Congenital lung abnormalities
  • Alpha-antitrypsin deficiency,
  • End-stage parenchymal lung disease

What Sets Us Apart

University Medical Center's successful history in lung transplantation began in 1990 when our physicians performed the first single-lung transplant in Arizona. Three years later, UMC became the first hospital in Arizona to perform a double-lung transplant. In addition, UMC has been performing combination heart/lung transplantats since 1985. As the oldest lung transplant center in Arizona, our clinical experience and expertise allows us to accept complex cases that other centers often turn down.

Evaluation Required for Consideration for Lung or Heart/Lung Transplant

Lung and heart/lung transplant is a complex and in-depth procedure. At UMC, our interest is with the patient, and as such, we require specific testing to make sure that transplant is the very best option for each patient. A patient that is referred to the lung or heart/lung transplant program at UMC can expect to undergo the following procedures for transplant surgery clearance.

Required Procedures

  • Complete history and physical
  • Chest x-ray
  • EKG
  • Cardiac catheterization
  • Labs
  • Cultures (sputum/urine if indicated)
  • Skin tests (TB)
  • CT scan of chest and abdomen
  • Vascular doppler studies of legs and carotids
  • Complete dental exam
  • Consultation with transplant social worker and/or transplant psychologist
  • Immunological studies
  • Nutrition assessment
  • Pap smear (women)
  • Mammogram (women over 50)
  • PSA (men)
  • Complete pulmonary assessment to include:
    • Blood gases at rest
    • Pulmonary function tests:
    • Pre and post bronchodilator. Helium dilution lung volumes, single breath diffusion capacity, flow volume curve inspiratory expiratory
    • Six-minute walk for distance and oxygen saturation
 

These tests will be scheduled by your transplant coordinator and performed at UMC. The results of the above tests may indicate further testing to verify that transplantation is the absolute best option for you as a patient. Your transplant coordinator can assist with this.

Make an Appointment

For the best cardiothoracic surgical care in Tucson, Southern Arizona or the Southwest, make an appointment by calling  (520) 626-6339.

Make an Appointment

(520) 626-6339