The Center for Thoracic Transplantation brings to the greater Phoenix community a much needed lung transplant and lung volume reduction program. St Joseph's Heart & Lung Institute has established an experienced team of lung transplant specialists with an excellent track record. Our program is approved by UNOS (United Network of Organ Sharing) to perform lung transplants.
Lung transplant is a viable treatment option for patients with end-stage lung diseases.
Disease Conditions treated with Lung Transplantation
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End-stage chronic obstructive pulmonary disease (CCPD/Emphysema due to any cause including Alpha-1-Antitrypsin deficiency.
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Pulmonary fibrosis (idiopathic and other etiologies like sarcoidosis, hypersensitivity pneumonitis, pneumoconiosis)
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Refer when histologic or radiologic evidence of usual interstitial pneumonia (UIP) regardless of Vital Capacity, or
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Histologic evidence of fibrotic non-specific interstitial pneumonitis (NSIP)
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Cystic fibrosis
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Refer for FEV-1 < 30% predicted, PO2 < 55, PCO2 > 45; severe hemoptysis, frequent and severe exacerbations, declining lung function despite maximal therapy; severe weight loss
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Bronchiectasis
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Pulmonary arterial hypertension
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Lymphangioleiomyomatosis (LAM)
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Langerhans cell histiocytosis (eosionophilic granuloma)
Evaluation
Patients have to be tobacco and substance-free for six months in order to be evaluated. Patients should be ambulatory or have rehabilitation potential. An evaluation comprises extensive testing and may take two to three days. It is usually done on an outpatient basis, but for severely ill or hospitalized patients, inpatient evaluation can be done.
Listing
After undergoing an evaluation, each patient's case is discussed at a multidisciplinary conference. If decided that lung transplantation will benefit the patient, they are placed on the list of potential candidates.
Post-transplant care
Lung transplants need a lifetime of medical follow-up. Patients are seen in the lung transplant clinic twice weekly immediately after discharge and then less frequently depending on their clinical course. Patients also are required to participate in a rehabilitation program after transplant.
Faculty Physicians
Ross Bremner, MD, PhD, Surgical Director, Lung Transplant Program, and Chief of Thoracic Surgery
Tony Hodges, MD, Medical Director, Lung Transplant Program
John Nigro, MD, Cardiothoracic surgeon
Michael Smith, MD, Associate Chief of Thoracic Surgery
Rajat Walia, MD, Pulmonary physician
Referrals and Consultations to the Center for Thoracic Transplantation
For more information about our services, please contact us at 1-877-602-4111.
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Lung Transplant Programs
The Center for Thoracic Transplantation within St. Joseph's Hospital and Medical Center's Heart & Lung Institute brings to the region a much nedded lung transplantation and lung volume reduction program.
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Spotlight Title
With one of the best pulmonary rehabilitation programs in the country, and trnsplant pulmonologists and surgeons with extensive experience and a long-standing record of superb outcomes for transplantation, the program at St. Joseph's is poised to be one of the dominant transplant centers in the country.
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