Transplant Recipients

Cardiac transplantation has been applied successfully to patients of all ages, from newborns through persons in their late sixties. Heart transplantation is indicated for patients with end-stage heart failure not remediable by standard medical or surgical therapy. The etiology of heart failure in transplant recipients as reported by the ISHLT/UNOS registry is listed in T§ble...,5.6.-11 The majority of adult patients have either idiopathic dilated cardiomyopathies or end-stage coronary artery disease. Many in the latter group will have undergone previous coronary artery bypass surgery. The predominant diagnoses in children undergoing transplantation are dilated cardiomyopathies and congenital heart disease. Many of the children with congenital heart disease will have undergone previous palliative or corrective operations. Patients are carefully evaluated to rule out other irreversible end-organ dysfunction and other systemic illnesses that would separately limit survival.






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TABLE 56-1 Etiology of Heart Failure in Transplant Recipients

TABLE 56-1 Etiology of Heart Failure in Transplant Recipients

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