Who Needs Transplantation?
Transplantation is provided as an option only after all other medical and surgical therapies that might be expected to yield both short and long-term survival, have been considered or exhausted. The patient selection criteria for transplantation is based upon:
- A critical medical need for transplantation
- Maximum likelihood of a successful clinical outcome
The patients considered for transplantation must have a poor prognosis, but must have no other end stage organ failure. Moreover, both a complete physical and psycho-social evaluation is conducted to ascertain the patient and caregiver’s ability for long-term adherence to a disciplined medical regimen, which is feasible and realistic for the individual patient.
Criteria for Cardiac Transplant
The criteria for selecting cardiac transplant candidates includes infants, children, and adolescents with:
- Cardiomyopathy that is unresponsive to medical therapy in the cases of:
- Drug induced
- Severe congenital cardiac malformation (palliated or unoperated), with a failing myocardium
- Graft failure following previous transplantation