linked in pixel

Indications & Contraindications for Heart Transplant Surgery

Who Can Have a Heart Transplant?

Patients with end-stage cardiac disease including but not limited to the following will be considered for heart transplant:

  • Cardiomyopathy (with class II or IV congestive heart failure)
  • Class IV angina (on medical therapy not amenable to revascularization despite evidence of ischemia on stress test)
  • Non-obstructive hypertrophic heart disease
  • Severe decompensated inoperable valvular heart disease
  • Transthyretin related (TTR) amyloidosis involving the heart (with no other end organ damage)
  • Congenital heart disease (without irreversible pulmonary hypertension)
  • Any other cardiac abnormalities that severely limit normal function and/or have a mortality risk of greater than 50% at two years

Upon re-evaluation, patients with the following potentially reversible or treated comorbidities may be considered for transplant:

  • Cancer
  • Morbid obesity
  • Uncontrolled diabetes mellitus
  • Renal failure
  • Tobacco/marijuana use
  • Pharmacologically irreversible pulmonary hypertension

Until transplant approval, patients may consider the use of mechanical circulatory support.

Read more healthy living and lifestyle tips.

Get tips in your inbox.

Sign up for our free newsletters to get the best of our healthy living tips delivered straight to your inbox.