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Heart Transplantation and Donation After Circulatory Death in Children. A Review of the Technological, Logistical and Ethical Framework

Thursday, February 27, 2025

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Louise Amelia Kenny, Liz Armstrong, Marius Berman, Joe Brierley, David Crossland, John Dark, Dale Gardiner, Stephen Ralph Large, Derek Manas, Mohamed Nassar, David Shaw, Emma Simpson

Heart transplants from donation after circulatory death (DCD) donors are well-established for adults in the United Kingdom, but extending this practice to pediatric heart transplants has been slow and difficult despite a severe donor shortage. Barriers include ethical concerns, technology gaps, and logistical challenges. This article urges action to establish a sustainable pediatric DCD cardiac program in the United Kingdom and offers insights for other countries facing similar issues.  

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