ABSTRACT
There are significant differences in many aspects of heart transplantation for infants and children as compared to adults. A few examples are unique indica tions for transplantation such as hypoplastic left heart syndrome, technical issues of the implant for patients that need arch reconstruction or have complex anomalies such as situs inversus, postoperative immunosuppression protocols that must al low for growth and development, and rejection surveillance where central venous access is limited for biopsies.
