Abstract
There remains a significant shortage of donor hearts despite an ever-increasing demand. In an effort to maximize the utilization of this scarce resource, extended criteria for donor hearts with surgically correctable abnormalities should be considered. Bench valve surgery on the donor heart prior to heart transplantation is feasible, and its implementation could enable the use of previously unsalvageable hearts, thus expanding the donor organ pool. With proper donor and recipient selection, bench valve surgery will enable the expansion of the donor pool to provide high-quality donor allografts that would otherwise have been declined. This chapter reviews the current practices employed in heart transplantation, with emphasis on the surgical technique for concomitant valve surgery in the donor heart prior to transplantation.
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