Table 2. Contraindications for pediatric heart transplantation.

Absolute contraindications	Remarks
Active infection
Ongoing malignancy
Medical noncompliance
Drug abuse
Non-reactive pulmonary vascular resistance	Left ventricular assist device implantation
Presence of non-cardiac conditions that shortens life expectancy
Recent or unresolved pulmonary infarction
Psychiatric illness considered likely to interfere significantly with compliance
Systemic disease likely to limit post-transplant survival
Active peptic ulcer disease with recent gastrointestinal bleeding	Medical treatment and surveillance
Relative contraindications
Renal insufficiency*	Combined heart and kidney transplant Ventricular assist device implantation
History of malignancy	Depending on time after diagnosis
Hepatic dysfunction*	Liver biopsy to exclude liver cirrhosis Combined heart and liver transplant
Symptomatic peripheral or cerebrovascular disease.
Obesity (body mass index >32)

*, not explained by the underlying heart failure and deemed irreversible.