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Lung Transplantation and LVRS in the Treatment of Advanced Emphysema

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Lung Volume Reduction Surgery

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Abstract

Lung transplantation and lung volume reduction surgery (LVRS) have become intimately related as clinical experience with each procedure has increased. Revitalization of LVRS was a direct consequence of single-lung transplantation when it was observed that even when the single lung allograft functioned poorly after transplantation there was improvement in hemithoracic diaphragmatic position, reduction of chest hyperinflation, and diminution in patient sensation of dyspnea (1). This clinical “success” despite the apparent “failure” of the single-lung allograft provided the insight to thoracic surgeons to revisit the question of surgically reducing the thoracic hyperinflation characteristic of pulmonary emphysema. The subsequent early success of lung volume reduction has fostered a productive and continually evolving relationship between lung transplantation and LVRS for the treatment of advanced pulmonary emphysema.

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Authors
  1. Larry L. Schulman MD
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Editors and Affiliations

  1. Division of Cardiothoracic Surgery, The New York Presbyterian Hospital-Columbia Presbyterian Center, New York, NY, USA

    Michael Argenziano MD (Columbia University College of Physicians and Surgeons) & Mark E. Ginsburg MD (Columbia University College of Physicians and Surgeons) (Columbia University College of Physicians and Surgeons) &  (Columbia University College of Physicians and Surgeons)

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© 2002 Springer Science+Business Media New York

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Schulman, L.L. (2002). Lung Transplantation and LVRS in the Treatment of Advanced Emphysema. In: Argenziano, M., Ginsburg, M.E. (eds) Lung Volume Reduction Surgery. Humana Press, Totowa, NJ. https://doi.org/10.1007/978-1-59259-121-3_16

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  • DOI: https://doi.org/10.1007/978-1-59259-121-3_16

  • Publisher Name: Humana Press, Totowa, NJ

  • Print ISBN: 978-1-61737-220-9

  • Online ISBN: 978-1-59259-121-3

  • eBook Packages: Springer Book Archive

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