Abstract
Despite a progressive increase in the complexity of pediatric heart transplant recipients, post-transplant survival has continued to improve over the last 3 decades.1 This improvement may be attributed to advances in the pre-transplant, peri-transplant, and long-term management of transplant recipients. Although the fundamental role of heart transplantation as the only accepted therapy for end-stage heart failure remains the same, there have been significant changes in the recipient profile over time with advances in congenital heart disease surgery, in particular for children with single ventricle disease, and the development and widespread use of ventricular assist devices for children awaiting heart transplantation.
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