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Fortunately, outcomes after pediatric lung transplantation have improved in recent years now producing good long\u2010term outcomes, no less than comparable to adult lung transplantation. The field of pediatric lung transplantation has rapidly advanced; thus, this review aims to update on important issues such as transplant referral and assessment, and extra\u2010corporal life support as \u201cbridge to transplantation\u201d. In view of the ongoing lack of donor organs limiting the success of pediatric lung transplantation, donor acceptability criteria and surgical options of lung allograft size reduction are discussed. Post\u2010transplant, immunosuppression is vital for prevention of allograft rejection; however, evidence\u2010based data on immunosuppression are scarce. Drug\u2010related side effects are frequent, close therapeutic drug monitoring is highly advised with an individually tailored patient approach. Chronic lung allograft dysfunction (CLAD) remains the Achilles' heel of pediatric lung transplant limiting its long\u2010term success. Unfortunately, therapy options for CLAD are still restricted. The last option for progressive CLAD would be consideration for lung re\u2010transplant; however, numbers of pediatric patients undergoing lung re\u2010transplantation are very small and its success depends highly on the optimal selection of the most suitable candidate.<\/jats:p>","DOI":"10.1111\/ctr.14126","type":"journal-article","created":{"date-parts":[[2020,10,23]],"date-time":"2020-10-23T22:16:16Z","timestamp":1603491376000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":27,"title":["Pediatric lung transplantation as standard of care"],"prefix":"10.1111","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-7323-716X","authenticated-orcid":false,"given":"Raphael","family":"Werner","sequence":"first","affiliation":[{"name":"Division of Thoracic Surgery University Hospital Zurich Zurich 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