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ISHLT consensus statement on donor organ acceptability and management in pediatric heart transplantation.

Journal article
Authors Richard Kirk
Anne I Dipchand
Ryan R Davies
Oliver Miera
Gretchen Chapman
Jennifer Conway
Susan Denfield
Jeffrey G Gossett
Jonathan Johnson
Michael McCulloch
Martin Schweiger
Daniel Zimpfer
László Ablonczy
Iki Adachi
Dimpna Albert
Peta Alexander
Shahnawaz Amdani
Antonio Amodeo
Estela Azeka
Jean Ballweg
Gary Beasley
Jens Böhmer
Alison Butler
Manuela Camino
Javier Castro
Sharon Chen
Maryanne Chrisant
Urs Christen
Lara Danziger-Isakov
Bibhuti Das
Melanie Everitt
Brian Feingold
Matthew Fenton
Luis Garcia-Guereta
Justin Godown
Dipankar Gupta
Claire Irving
Anna Joong
Mariska Kemna
Sanjeev Kumar Khulbey
Steven Kindel
Kenneth Knecht
Ashwin K Lal
Kimberly Lin
Karen Lord
Thomas Möller
Deipanjan Nandi
Oliver Niesse
David M Peng
Alicia Pérez-Blanco
Ann Punnoose
Zdenka Reinhardt
David Rosenthal
Angie Scales
Janet Scheel
Renata Shih
Jonathan Smith
Jacqueline Smits
Josef Thul
Robert Weintraub
Steve Zangwill
Warren A Zuckerman
Published in The Journal of Heart and Lung Transplantation
Volume 39
Issue 4
Pages 331-341
ISSN 1053-2498
Publication year 2020
Published at
Pages 331-341
Language en
Keywords pediatric; heart transplant; waitlist; donor; discard; refusal
Subject categories Cognitive science, Immunobiology, Pathology, Paediatric cardiology, Transplantation surgery, Pediatrics


The number of potential pediatric heart transplant recipients continues to exceed the number of donors, and consequently the waitlist mortality remains significant. Despite this, around 40% of all donated organs are not used and are discarded. This document (62 authors from 53 institutions in 17 countries) evaluates factors responsible for discarding donor hearts and makes recommendations regarding donor heart acceptance. The aim of this statement is to ensure that no usable donor heart is discarded, waitlist mortality is reduced, and post-transplant survival is not adversely impacted.

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