Inclusion Criteria:  Donor and donor lungs matched to the prospective recipient based upon institutional medical practice Registered male or female primary lung transplant candidates including pediatric candidates  Exclusion Criteria:  Donor and donor lungs that do not meet institutional clinical requirements for transplantation Patients who are incarcerated persons (prisoners) Patients who have had a previous major organ transplant (heart, lungs, liver, kidney, pancreas) Patients who are receiving multiple organ transplants