Paediatric cardiac transplantation

Paediatric heart transplantation has become firmly established as a treatment modality for end-stage heart failure due to either cardiomyopathy or congenital heart disease. Numbers of transplants are limited by donor numbers and therefore there has been an impetus for the development of mechanical support which may allow patients to wait for a suitable organ. It is important for all professionals involved in the care of the post-transplant patient to be aware of potential complications and the ever-present possibility of graft rejection in order to provide the highest standard of care. Practice has evolved over the decades and increasing experience along with the development of immunosuppressive agents and improved post-operative care has led to an improvement in survival figures and outcomes.