Praxis Medical Insights

Est. 2024 • Clinical Guidelines Distilled

Made possible by volunteer editors from the University of Calgary & University of Alberta

Last Updated: 12/15/2025

Double Lung Transplant Surgical Incisions

Primary Surgical Approach Considerations

  • The European Society of Cardiology recommends that phrenic nerve injury be avoided during dissection, particularly in heart-lung transplantation 1

Surgical Expertise and Outcomes

  • The American College of Cardiology and the European Heart Association suggest that lung transplantation should only be performed at high-volume centers with experienced thoracic surgeons, due to the complexity of bilateral sequential implantation and management of cardiopulmonary bypass 2, 3