Affiliation:
1. Marquette University College of Nursing, Milwaukee, Wis
Abstract
This article explores current developments and continuing dilemmas in heart transplantation. Statistical trends such as the increased number of candidates and the increased waiting time are described. Recent developments in implantable ventricular assist device technology and the perioperative use of nitric oxide are also highlighted. In addition, advances in patient management from pretransplant care to long-term follow-up are presented, and alternatives to heart transplantation in current use and for the future are explored.