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Lung Transplantation, Thoracic Medicine Department

The Lung Transplant Program at St Vincent’s Hospital is internationally recognised for its excellence in achieving superior results for patients after lung transplantation. We have a strong emphasis in providing care with continuous monitoring of quality to create better outcomes for patients. We have now performed over 870 lung and heart lung transplants since 1987.
 

Approximately 50 patients undergo lung or combined heart-lung transplantation at St Vincent’s each year, and the number is increasing annually. The procedures are performed on patients with severe lung failure and recipients range in age from 12 to 65 years of age.

Our multidisciplinary team of medical specialists, surgeons, nurse co-ordinators, social workers, physiotherapists and ancillary staff members are all committed to achieving the best possible outcome for every patient under our care. 

The Department maintains a comprehensive multidisciplinary service for the assessment of prospective patients and the care of patients that have undergone transplantation. In particular we maintain full holistic outpatient management of our patients including management of immunosuppression, long term patient monitoring and care, infection prophylaxis and care of transplant related conditions. 

Extracorporeal Membrane Oxygenation (ECMO)

Our centre is one of three in NSW that provides retrieval of patients with severe forms of lung failure who would otherwise die without advanced lung support. We are a centre of excellence for extracorporeal membrane oxygenation (ECMO), a form of heart lung bypass that can be used in the short to medium term to support patients who may otherwise recover or require emergency transplantation for non-resolving conditions. Our Intensive care team has now performed over 300 ECMO procedures.

Advanced Lung Disease Service

Our service provides access to patients with both severe and rare lung conditions to a host of experienced specialists in areas such as COPD, pulmonary hypertension, interstitial lung disease, lymphangiomyomatosis, and end stage cystic fibrosis. As part of our ongoing program we are actively involved in research into future therapies and have access to many current and new trials into medications that may improve outcomes for patients suffering from these conditions.


Interventional Bronchoscopy Service

We provide a full range of both diagnostic and interventional procedures. We were the first centre in NSW and the second in Australia to provide endobronchial bronchoscopic ultrasound (EBUS) for the accurate diagnosis and staging of lung cancer patients and our specialists are amongst the most experienced in Australia. Stent insertion for obstructed airways and tracheo-esophageal fistulae, laser recanalisation and bronchoscopic lung volume reduction valves are amongst the other procedures that our experienced clinicians undertake.

Thoracic Medicine

St Vincent’s has a wide range of specialists that are experienced and expert in a variety of conditions. These include, but are not limited to the following:

  • Lung Cancer
  • Interstitial Lung Diseases (e.g. Idiopathic Pulmonary Fibrosis)
  • Asthma
  • Chronic Obstructive Pulmonary Disease (Emphysema and Chronic Bronchitis)
  • Cystic Lung Diseases (e.g. Lymphangeiolyomyomatosis)
  • Occupational Lung Diseases (Asbestosis, Mesothelioma)
  • Pulmonary Hypertension
  • Bronchiectasis
  • Obstructive Sleep Apnoea
  • Nocturnal hypoventilation

Staff

Professor Allan R Glanville, MBBS, MD, FRACP, Director Thoracic Medicine and Medical Director Lung transplantation
Associate Professor Marshall Plit, PhD, Deputy Director
Associate Professor Deborah H Yates, PhD, Director LAM Clinic
Dr Adrian Havryk, PhD, Director Interventional Bronchology Service
Dr Emily Stone, MPH, Director Lung Cancer MDT Service
Dr David Jankelson, Director Sleep and Respiratory Failure Service
Dr Devtosh Banerjee, Deputy Director Respiratory Failure Service
Dr Monique Malouf, MBBS, Lung Transplantation and ILD.
Dr Mark Benzimra, Lung Transplantation and ICU Liaison