Abstract

The ninth official pediatric report of the International Society for Heart and Lung Transplantation (ISHLT) covers the pediatric heart transplant experience from 1982 through 2005. This worldwide experience in pediatric heart transplantation represents a unique documentary in an ongoing effort to help children with lethal cardiac disease. Some aspects of pediatric heart transplantation have been remarkably stable, such as the number of transplants each year, whereas other aspects show continuing evolution in the care of these patients and their outcomes. The indications for pediatric heart transplantation have settled into a pattern that is reflective of structural congenital heart disease leading to heart transplantation in infancy, and of cardiomyopathy in the majority of adolescents. Re-transplantation has been slowly but steadily increasing as an indication in the adolescent age group, and this year we present data evaluating the inter-transplant interval and outcomes of re-transplantation. All figures and tables from this report and a more comprehensive set of registry slides are available from the ISHLT website (http://www.ishlt.org/registries/).

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