In reply: We thank Robotin for her positive comments. We agree that the current successful lung transplantation outcomes for adolescents in Australia should be able to be extended to the whole paediatric population in due course.,2 The appropriate timing of the operation and peritransplantation management of young children with advanced lung diseases requires further consideration and debate.3 This should involve the existing lung transplantation services and specific committed paediatric institutions.
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- Lung Transplant Service, Department of Allergy, Immunology and Respiratory Medicine, The Alfred Hospital and Monash University, Melbourne, VIC.
- 1. Morton JM, Malouf MA, Plit ML, et al. Successful lung transplantation for adolescents at a hospital for adults. Med J Aust 2007; 187: 278-282. <MJA full text>
- 2. Snell GI, Westall GP, Williams TJ. Lung transplantation: does age make a difference [editorial]? Med J Aust 2007; 187: 260-261. <MJA full text>
- 3. Liou TG, Adler FR, Cox DR, Cahill BC. Lung transplantation and survival in children with cystic fibrosis. N Engl J Med 2007; 357: 2143-2152.