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We started LT program at our center in September 1990. However, due to the complexity of management and relatively lower median survival as compared to other solid organs, relatively few programs care for this challenging patient population. Since then, thousands of LTs have been performed. Subsequently, Pasque described the sequential double LT which is now the common practice world over. In 1987, Alec Patterson from the same institution described the first enbloc double LT in a patient with Alpha-1 Anti-trypsin deficiency. Joel Cooper from the University of Toronto performed the first isolated lung transplant with long-term survival, a single right lung transplant for interstitial pulmonary fibrosis (IPF) in 1983, the patient survived for 6.5 years.

Lung transplantation (LT) is considered the gold standard for patients with chronic end-stage pulmonary disease.