From November 1985 through December 1996, 128 patients aged 1 day to 18 yea
rs (mean age, 4.7 yrs; median, 3 years) were listed for heart transplant. F
orty-seven (36.1%) died after a mean wait of 3.1 months, and 62 underwent t
ransplant after a mean wait of 4 months. Two patients underwent retransplan
tation. The 1-, 5-, and 11-year actuarial survival rate for the patients wh
o underwent heart transplantation is 68%, 62%, and 42%, respectively. The f
ollow-up ranges from 0 to 132 months, with a mean follow-up of 39 months. A
t present, 36 patients, including the 2 who received a retransplant, are al
ive. Most of them have normal growth, development, and neurologic outcome.