Who Needs Transplantation?

General Criteria

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:

  1. Cardiomyopathy that is unresponsive to medical therapy in the cases of:
    • Viral
    • Ischemic
    • Familial
    • Idiopathic
    • Metabolic
    • Hypertrophic
    • Drug induced
  2. Severe congenital cardiac malformation (palliated or unoperated), with a failing myocardium
  3. Graft failure following previous transplantation