Over the past 20 years, the mortality and morbidity associated with ca
rdiac allotransplantation has fallen significantly, providing a viable
treatment for patients with terminal cardiac failure. Unfortunately,
the increase in the number of patients who could benefit from cardiac
transplantation has not been matched with an increase in the number of
organs available for transplantation. Thus, many patients with cardia
c failure die waiting for a suitable organ, unlike patients with renal
failure, who can be maintained on dialysis while waiting for a kidney
. Although the development of artificial hearts may provide a life-sus
taining bridging therapy until a donor organ becomes available, the qu
ality of life associated with cardiac prostheses is currently less tha
n that following successful cardiac allotransplantation. (Trends Cardi
ovasc Med 1998;8:319-325) (C) 1998, Elsevier Science Inc.