The field of heart transplantation continues to evolve, with major changes in allocation
systems and the increasing use of extended-criteria donor hearts, including hearts
from donation after circulatory death donors, hearts supported with ex-vivo perfusion,
and hearts from hepatitis C viremic donors. The use of such non-traditional donor
hearts has made transplantation available to a larger number of recipients, but the
demand continues to outpace the supply. Given this persistent donor heart shortage,
much attention has been paid to the topic of donor-recipient size matching. Prior
studies have challenged traditional criteria for size matching,
1
,
2
,
3
while others have attempted to identify the optimal metric for matching donor and
recipient heart size by comparing criteria, such as height, weight, body mass index
(BMI), body surface area (BSA), and predicted heart mass (PHM).
4
,
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,
6
,
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This 36th annual adult heart transplant report is based on data submitted to the
International Society for Heart and Lung Transplantation (ISHLT) Thoracic Organ Transplant
Registry on 146,975 heart transplants in recipients of all ages (including 131,249
adult heart transplants) through June 30, 2018. The focus theme of the 2019 annual
report is donor-recipient size match.KEYWORDS
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References
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Published online: August 10, 2019
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- ERRATUMThe Journal of Heart and Lung TransplantationVol. 39Issue 1
- PreviewKhush KK, Cherikh WS, Chambers DC, Harhay MO, Hayes D Jr, Hsich E, Meiser B, Potena L, Robinson A, Rossano JW, Sadavarte A, Singh TP, Zuckermann A, Stehlik J; International Society for Heart and Lung Transplantation. The International Thoracic Organ Transplant Registry of the International Society for Heart and Lung Transplantation: Thirty-sixth adult heart transplantation report — 2019; focus theme: Donor and recipient size match. J Heart Lung Transplant 2019;38(10):1056–1066.
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