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Lung transplantation (The Impossible Operation)

Pulmonary transplantation is a life-saving option for patients with end-stage lung disease who have exhausted all other medical and surgical therapies. In this video, we provide a clear, structured overview of lung transplantation—from patient selection to long-term outcomes. In this video, you will learn: Indications for pulmonary transplantation Common underlying diseases leading to transplant (COPD, interstitial lung disease, cystic fibrosis, pulmonary hypertension) Types of lung transplantation (single-lung, double-lung, and combined heart–lung transplantation) Pre-transplant evaluation and listing criteria Surgical principles and perioperative considerations Post-transplant care, immunosuppression, and infection risk Short- and long-term outcomes, survival, and quality of life We also discuss major complications such as primary graft dysfunction, acute and chronic rejection, infection, and bronchiolitis obliterans syndrome, highlighting the importance of lifelong follow-up.