What tests are performed before lung transplant surgery?

Lyall A. Gorenstein, MD
Thoracic Surgery (Cardiothoracic Vascular)
The following tests are performed before lung transplant surgery:

  • Chest x-ray and, in selected patients, CT scan
  • Quantitative ventilation-perfusion lung scan
  • Echocardiogram and electrocardiogram
  • Complete pulmonary function tests and arterial blood gas
  • Six-minute walk test and cardiopulmonary exercise study
  • Right heart catheterization; in patients above age 45 and with risk factors for coronary artery disease — left heart catheterization for coronary angiography
  • Cardiac stress test in selected patients
  • DEXA (dual energy x-ray absorptiometry) to measure bone density
  • Blood and urine testing
  • Testing for blood and tissue type
  • Antibody testing to measure the immune system's level of activity
  • Barium upper gastrointestinal series in selected patients
  • PPD and anergy testing for tuberculosis
  • Dental evaluation

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