Pediatric - Professor Richard Kirk 2023

Professor Richard Kirk
MA FRCP FRCPCH
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Pediatric Listing Criteria
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Primary Cardiac Transplant
Indications
Relative Contraindications
Absolute Contraindications
End stage heart failure
Neuro-devastation   injuries
Active malignancy
Intractable arrhythmias
Severe psychiatric disorder
Severe hypoplastic PAs
Unrepairable CHD
Human immunodeficiency virus
Severe pulmonary vein stenosis
Unresectable cardiac tumor
Pulmonary hypoplasia
Severe elevated PVR

Non adherence*
Refusal of blood products

Inadequate social or financial support*


BMI > 35

*Non- adherence and inadequate social/financial support are absolute contraindications after attempts to mitigate risk have been exhausted
Cardiac Re-Transplantation
Indications
Relative Contraindications
Absolute Contraindications
End-stage graft failure, not recoverable by further medical or surgical therapy
Neuro-devastation   injuries
Active malignancy
Limited life expectancy, usually one year or less
Severe psychiatric disorder
Inadequate vascular access

Human immunodeficiency virus
Refusal of blood products

Non adherence*


Inadequate social or financial support*

*Non- adherence and inadequate social/financial support are absolute contraindications after attempts to mitigate risk have been exhausted
Last Updated: April 2023
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