It has been advocated that a major drawback of single lung transplantation
(SLT) is the risk of serious complications arising from the native lung. Th
e morbidity and mortality related to the native lung in 46 patients who und
erwent SLT for pulmonary emphysema in Clichy from 1988 to 1997 were reviewe
d retrospectively. In particular, infectious complications and native lung
hyperinflation were searched. Complications arising from the native lung ar
e not unusual after SLT for subjects with emphysema, and it was concluded t
hey are not responsible for a substantial mortality.