In all patients, the need for strong family support must be taken into consideration. Idiopathic pulmonary fibrosis, Alpha-1 antitrypsin deficiency, or emphysema. Patient has exhausted all other therapeutic alternatives. Cystic fibrosis, bronchiectesis, Alpha-1 antitrypsin deficiency. Patient has exhausted all other therapeutic alternatives.
Patients can have no history of prior surgery or pulmonary fibrosis.
Criteria may change as time progresses. History of a behavior pattern or psychiatric illness considered likely to interfere significantly with compliance with a disciplined medical regimen. Severe cerebral or peripheral vascular disease Insulin requiring diabetes with secondary neuropathy, retinopathy or peripheral vascular disease. Any other systemic disease considered likely to limit or preclude survival and rehabilitation after transplantation. Optimal therapy for each patient will be assessed on an individual basis.