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Heart Transplant Program

 Heart Transplant Program
  Before Transplant (Evaluation)
  Time of Transplant (Surgery)
  After Transplant
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 Cardiovascular Program
 Pediatric Transplant Center
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Flower About Heart Transplants
Who gets a heart transplant?
A heart transplant is recommended for children who have serious end-stage heart dysfunction and will not be able to live without having their heart replaced. Illnesses that affect the heart in this way include:
  • complex congenital heart defects
  • cardiomyopathy, a disease of the heart muscle in which the heart loses its ability to pump blood effectively
Where do the transplanted organs come from?
Hearts that are transplanted come from organ donors. Organ donors are adults or children who have become critically ill, often due to an accidental injury, and will not live because of their illness or injury.

If the donor is an adult, he or she may have agreed to be an organ donor before becoming ill. Also, parents and spouses can also agree to donate a relative's organ. Donors can come from any part of the United States.

Who decides who gets an organ?
Heart Transplant patient Patrick
Heart Transplant patient Patrick
The United Network for Organ Sharing (UNOS) is responsible for transplant organ distribution in the United States. UNOS oversees the allocation of many different types of transplants, including liver, kidney, pancreas, heart, lung and cornea.

Criteria have been developed to ensure that all people on a transplant waiting list are judged fairly, based on the severity of their illness and the urgency of receiving a transplant. Once UNOS receives data from local hospitals, people waiting for a transplant are placed on a waiting list and given a "status" code. The people in most urgent need of a transplant are placed highest on the status list and are given first priority when a donor heart becomes available.

UNOS receives data from hospitals and medical centers throughout the country about adults and children who need organ transplants. The medical team that currently follows your child is responsible for sending data to UNOS and updating them as your child's condition changes.

Heart Transplant patient Amaya
Heart Transplant patient Amaya
When a donor becomes available, a computer searches all the people on the waiting list for a heart and sets aside those who are good matches for the available heart. A new list is then made from the remaining candidates. The person at the top of the specialized list is considered for the transplant. If he or she is not a good candidate, for whatever reason, the next person is considered for the transplant, and so on.

Donor organs are matched to the best potential recipient based on several factors in addition to status. Those include:

  • the size of the donor organ
  • the geographical distance between the donor and the recipient
  • the blood type of the donor
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