A heart-lung transplant is surgery to remove a severely diseased and damaged heart and lungs. They are replaced with a healthy heart and lungs from a donor.
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A heart-lung transplant is done if:
Problems are rare but all procedures have some risk. The doctor will go over some problems that could happen, such as:
Things that may raise the risk of problems are:
The care team may meet with you to talk about:
The doctor will give general anesthesia. You will be asleep.
An incision will be made in the skin and breastbone. The chest will be opened. A heart-lung machine will take over the functions of the heart and lungs during surgery. The lungs and heart will be removed. The donor lungs will be attached. Then, the new heart will be sewn into place. Next, the blood vessels will be connected. The blood will start to flow and warm the heart.
The new heart may begin beating on its own. If not, the doctor may give an electrical shock to get the heart started. The heart and lungs will be checked to make sure they are working. The heart-lung machine will then be disconnected. Next, temporary tubes may be placed in the chest cavity. The tubes will drain any blood that has collected. The breastbone will be wired together. The chest will be closed with stitches or staples. A bandage will be placed over the site.
There is some pain during recovery. Medicine and home care will help.
The usual length of stay is 2 weeks. If you have any problems, you may need to stay longer.
After surgery, the staff will give medicine:
During your stay, the hospital staff will take steps to lower your risk of infection, such as:
There are also steps you can take to lower your risk of infection, such as:
Recovery may take 3 to 6 months. Physical activity will be limited during this time.
Call your doctor if you are not getting better or you have:
If you think you have an emergency, call for medical help right away.
Scientific Registry of Transplant Recipients
Heart and Stroke Foundation of Canada
Cardiac transplantation procedure and immediate postoperative care. EBSCO DynaMed website. Available at: https://www.dynamed.com/management/cardiac-transplantation-procedure-and-immediate-postoperative-care. Accessed July 22, 2021.
Devices and surgical procedures to treat heart failure. American Heart Association website. Available at: https://www.heart.org/en/health-topics/heart-failure/treatment-options-for-heart-failure/devices-and-surgical-procedures-to-treat-heart-failure#.WiBiEFWnFQI. Accessed July 22, 2021.
Explore lung transplant. National Heart, Lung, and Blood Institute website. Available at: https://www.nhlbi.nih.gov/health-topics/lung-transplant. Accessed July 22, 2021.
Lung transplant - procedure and perioperative management. EBSCO DynaMed website. Available at: https://www.dynamed.com/procedure/lung-transplant-procedure-and-perioperative-management. Accessed July 22, 2021.
McCurry KR. Brief overview of lung, heart, and heart-lung transplantation. Crit Care Clin. 2019;35(1):1-9.
Last reviewed July 2021 by EBSCO Medical Review Board Michael J. Fucci, DO, FACC