You are required to stay locally in the Houston area for 3 months post-transplant. This is essential for the lung transplant team to be able to attend to any complications without any delay.
You will be seen in the post-transplant clinic every week for the 1st month. Each clinic visit will involve laboratory testing, spirometry, and a chest x-ray prior to the visit with the pulmonologists. After 3 months, you will be seen in the clinic at least once/month until your 1st lung transplant anniversary. Once you are more than 1 year from the transplant, your clinic visits will be less frequent.
All post lung transplant patients undergo routine surveillance bronchoscopy for airway examination, bronchial cultures and transbronchial biopsies to rule out infection and rejection. These are done at 1, 3, 6, 9 and 12 months post-transplant after 1-year bronchoscopies are done based on clinical need. It is recommended that you maintain your relationship with your primary care physician and pulmonologists in addition to your transplant team.
COVID19 and Lung Transplantation
The natural history and progression of COVID19 is still evolving. So far, there have been few reports of lung transplantation for patients with COVID19 related refractory lung failure in the USA, Europe, and China. It is postulated that COVID19 survivors could develop lung fibrosis (scarring) requiring new therapies. Lung transplantation will play an important role in carefully selected patients as a treatment option.