wellcome witnesses to twentieth century medicine - the

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WELLCOME WITNESSES TO TWENTIETH CENTURY MEDICINE EARLY HEART TRANSPLANT SURGERY IN THE UK _______________________________________________ ______________________________________________ THE TRANSCRIPT OF A WITNESS SEMINAR HELD AT THE WELLCOME INSTITUTE FOR THE HISTORY OF MEDICINE, LONDON, ON 10 JUNE 1997 Volume Three – September 1999 WITNESS SEMINAR TRANSCRIPT EDITED BY: E M TANSEY L A REYNOLDS

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TRANSCRIPT

WELLCOME WITNESSES TO

TWENTIETH CENTURY MEDICINE

EARLY HEART TRANSPLANT SURGERY IN THE UK _______________________________________________

______________________________________________

THE TRANSCRIPT OF A WITNESS SEMINAR HELD AT THE WELLCOME INSTITUTE FOR THE HISTORY OF MEDICINE,

LONDON, ON 10 JUNE 1997

Volume Three – September 1999

WITNESS SEMINAR TRANSCRIPT EDITED BY:

E M TANSEY L A REYNOLDS

=

©The Trustee of the Wellcome Trust, London, 1999updated 2005 in new pdf, revised ISBN, 2010

First published by the Wellcome Trust, 1999

The Wellcome Trust is a registered charity, no. 210183.

ISBN 978 184129 007 2

All volumes are freely available at www.history.qmul.ac.uk/research/modbiomed/wellcome_witnesses/

Please cite as: Tansey E M, Reynolds L A. (eds) (1999) Early Heart Transplant Surgery in the UK. Wellcome Witnesses to Twentieth Century Medicine, vol. 3. London: Wellcome Trust.

KeyFront cover photographs, L to R from the top: Dr Stephen Lock Dr Simon Joseph, Mr Marvin Sturridge Dr Eunice Lockey, Mr Barry Ross Dr David Zuck, Dr Alan Gilston (1928–2005) Professor Tom Treasure (chair), Mr Donald Ross Mr Barry Ross, Dr Geoffrey Rivett Professor Donald Longmore, Sir Keith Ross (1927–2003) Sir Terence English, Dr David Carnegie Back cover photographs, L to R from the top: Dr Peter Fleming, Mr Donald Ross, Mr Raymont Hurt Sir Terence English, Mr John Wallwork Professor John Bunker, Dr Geoffrey Rivett Dr Walter Somerville (1913–2005) Dr Tilli Tansey, Mrs Lois Reynolds, Professor Donald Longmore Professor Renee Fox, Dr Jane Somerville Mr John Wallwork, Professor Maurice Lessof

CONTENTS

INTRODUCTION = E M Tansey v =

EARLY HEART TRANSPLANT SURGERY IN THE UK

EDITORS : L A REYNOLDS AND E M TANSEY

TRANSCRIPT 1

INDEX 67

=

=

ii

INTRODUCTION

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Tilli Tansey Wellcome Institute for the History of Medicine===

vi

History of Twentieth Century Medicine Witness Seminars, 1993–1999

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1

EARLY HEART TRANSPLANT SURGERY IN THE UK

qÜÉ=íê~åëÅêáéí=çÑ=~=táíåÉëë=pÉãáå~ê=ÜÉäÇ=~í=íÜÉ=tÉääÅçãÉ=fåëíáíìíÉ=Ñçê=íÜÉ=eáëíçêó=çÑ=jÉÇáÅáåÉI=içåÇçåI=çå=NM=gìåÉ=NVVT=

bÇáíÉÇ=Äó=i=^=oÉóåçäÇë=~åÇ=b=j=q~åëÉó=

=============

EARLY HEART TRANSPLANT SURGERY IN THE UK

Participants

páê=`ÜêáëíçéÜÉê=_ççíÜ= mêçÑÉëëçê=açå~äÇ=içåÖãçêÉ=

mêçÑÉëëçê=gçÜå=_ìåâÉê= aê=dÉçÑÑêÉó=oáîÉíí=

aê=a~îáÇ=`~êåÉÖáÉ= jê=_~êêó=oçëë=

páê=qÉêÉåÅÉ=båÖäáëÜ= jê=açå~äÇ=oçëë=

mêçÑÉëëçê=oÉå¨É=cçñ= páê=hÉáíÜ=oçëëæ=

aê=^ä~å=dáäëíçåG= aê=g~åÉ=pçãÉêîáääÉ=

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aê=páãçå=gçëÉéÜ= mêçÑÉëëçê=qçã=qêÉ~ëìêÉ=E`Ü~áêF=

mêçÑÉëëçê=j~ìêáÅÉ=iÉëëçÑ= aê=a~îáÇ=qóêêÉää¬=

aê=bìåáÅÉ=içÅâÉó= jê=gçÜå=t~ääïçêâ===[updated 19 January 2005] G=ÇáÉÇ=NU=gìåÉ=OMMR=æ=ÇáÉÇ=NU=cÉÄêì~êó=OMMP=˛=ÇáÉÇ=OM=gìäó=OMMR=¬=ÇáÉÇ==O=j~ó=OMMR============Others present at the meeting:= aê= mÉíÉê= cäÉãáåÖI= jê= gçÜå= dáÄÄçåëI==jê=o~óãçåÇ=eìêíI=jáëë=^ååÉ=oçÄÉêíëçåI=jê=j~êîáå=píìêêáÇÖÉI=aê=o~óãçåÇ=s~äÉI=mêçÑÉëëçê=gçÜå=tÉëí=

Apologies:=mêçÑÉëëçê=aáÅâ=_~íÅÜÉäçêI=mêçÑÉëëçê=páê=oçó=`~äåÉI=jê=a~îáÇ=`ççéÉêI=jê=qçåó=aóÇÉI=páê=dÉçêÖÉ=dçÇÄÉêI=mêçÑÉëëçê=g~ãÉë=jçïÄê~ó=

=

=2

Early Heart Transplant Surgery in the UK

Professor Tom TreasureWN= f= ~ã= ~= Å~êÇáçíÜçê~ÅáÅ= ëìêÖÉçå= ïÜç= ï~ë= çåäó= ~=ãÉÇáÅ~ä= ëíìÇÉåí=ïÜÉå=íÜÉëÉ= áãéçêí~åí=ÉîÉåíë=ïÉêÉ= í~âáåÖ=éä~ÅÉI=~åÇ=f=~ã=ÜÉêÉI=åçí= ~ë= ~=táíåÉëë= Äìí= ~ë= íÜÉ=`Ü~áêã~åK=qÜ~í= ÅçãÉë= ~Äçìí= ÄÉÅ~ìëÉ= ~= ÅçìéäÉ= çÑ=óÉ~êë= ~Öç= f= ëéÉåí= ~=ãçëí= Éåàçó~ÄäÉ= Ñçìê=ãçåíÜëÛ= ë~ÄÄ~íáÅ~ä=ïçêâáåÖ=ÜÉêÉ= ~í= íÜÉ=tÉääÅçãÉ= fåëíáíìíÉ= ~åÇ= êÉã~áåÉÇ= çå= áå= ëéáêáí= ~ë= ~= ãÉãÄÉê= çÑ= íÜÉ= píÉÉêáåÖ=`çããáííÉÉ= çÑ= íÜÉ=eáëíçêó= çÑ=qïÉåíáÉíÜ=`Éåíìêó=jÉÇáÅáåÉ=dêçìéI=ïÜáÅÜ= êìåë=íÜÉëÉ=táíåÉëë=pÉãáå~êëKO=qÜÉ=éìêéçëÉ=çÑ=íÜÉëÉ=áë=íç=ÖÉí=íçÖÉíÜÉê=éÉçéäÉ=ïÜç=ïÉêÉ=íÜÉ= ïáíåÉëëÉëI= íÜÉ= âÉó= éä~óÉêëI= áå= áãéçêí~åí= ÉîÉåíë= áå= ãÉÇáÅáåÉ= ïáíÜáå= çìê=ãÉãçêáÉëI= íÜ~í= áëI= ïáíÜáå= óçìê=ãÉãçêáÉëI= ~åÇ= íç= ÉåÅçìê~ÖÉ= óçì= íç= í~äâ= ~Äçìí=íÜÉã=~åÇ=íç=íÉää=ìë=íÜÉ=íÜáåÖë=óçì=êÉãÉãÄÉê=~åÇ=íç=ÖÉí=~=Çá~äçÖìÉ=ÖçáåÖK=fí=ïáää=ÄÉ=êÉÅçêÇÉÇ=~åÇ=f=ïçìäÇ=äáâÉ=éÉçéäÉ=íç=ÖáîÉ=íÜÉáê=å~ãÉë=~ë=íÜÉó=ëéÉ~âK=bîÉêóÄçÇó=ïÜç= ëéÉ~âë=ïáää= ÖÉí= ~= íê~åëÅêáéíI= ~åÇ=åçíÜáåÖ=ïáää=ÄÉ=éìÄäáëÜÉÇ= íÜ~í=óçì=ïçìäÇ=åçí=ï~åí=íç=ÄÉI=~åÇ=ïÉ=ÜçéÉ=íÜ~í=íÜáë=ïáää=éêçîáÇÉ=~=îÉêó=áãéçêí~åíI=î~äì~ÄäÉ=~åÇ=áåíÉêÉëíáåÖ= ~ÅÅçìåí= çÑ= íÜÉëÉ= çéÉê~íáçåëK=tÉ=ïáää= Ü~îÉ= íÉ~= Ü~äÑ=ï~ó= íÜêçìÖÜ= íÜÉ=~ÑíÉêåççåK= ^ÑíÉê= íÉ~= ïÉ= ïáää= ÇáëÅìëë= íÜÉ= áëëìÉë= çÑ= ïÜ~í= ~ééÉ~êë= íç= Ü~îÉ= ÄÉÉå= ~=ÅäáåáÅ~ä= ãçê~íçêáìãI= áãéäáÅáí= çê= ÉñéäáÅáíI= çîÉê= ~= éÉêáçÇ= çÑ= íáãÉI= Üçï= íÜ~í= ï~ë=åÉÖçíá~íÉÇI=Üçï=áí=ï~ë=ÇÉ~äí=ïáíÜ=~åÇ=Üçï=áí=íÜÉå=ÅÜ~åÖÉÇK==

_ìí=íÜÉ=Ñáêëí=àçÄ=áë=íç=íÜáåâ=~Äçìí=íÜÉ=íïç=çéÉê~íáçåë=íÜ~í=ïÉêÉ=ÇçåÉ=áå=içåÇçåK=qÜÉ= Ñáêëí= çéÉê~íáçå= ï~ë= éÉêÑçêãÉÇ= ~í= íÜÉ= k~íáçå~ä= eÉ~êí= eçëéáí~ä= çå= P=j~ó=xNVSUz=~åÇ=íÜÉ=Ñáêëí=äÉ~ÇÉê=çå=íÜÉ=ëìÄàÉÅí=~ééÉ~êÉÇ=áå=íÜÉ=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=çå=NN=j~ó=NVSUK=qÜÉ=éìÄäáÅ~íáçå=ÄÉáåÖ=ëç=éêçãéí=ï~ë=ìåìëì~äK=qÜÉó=ÅçìäÇ=åçí=Ü~îÉ=Öçí=áí=çìí=ëççåÉêI=~åÇ=áí=ï~ë=çÄîáçìëäó=êÉÖ~êÇÉÇ=~ë=~=ã~àçê=ÉîÉåí=~í=íÜÉ=íáãÉK=fí=ë~óëW=

lå= íÜÉ= íÜáêÇ= çÑ=j~ó= íÜÉ= íÉåíÜ= ÜÉ~êí= íê~åëéä~åí= áå= íÜÉ= ïçêäÇ= ï~ë= ëìÅÅÉëëÑìääó=~ÅÅçãéäáëÜÉÇ=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~äI=içåÇçåK=jê=açå~äÇ=oçëëI=jê=g=h=

=================================================N= mêçÑÉëëçê= qçã= qêÉ~ëìêÉ= co`p= EÄK= NVQTF= íê~áåÉÇ= áå= içåÇçå= ~åÇ= íÜÉ= rp^I= ~åÇ= Ü~ë= ÜÉäÇ= ~=éÉêëçå~ä= ÅÜ~áê= áå=`~êÇáçíÜçê~ÅáÅ= pìêÖÉêó= áå= íÜÉ=råáîÉêëáíó= çÑ= içåÇçå= ~í= pí=dÉçêÖÉÛë=eçëéáí~ä=ëáåÅÉ=NVVQK=O= ^ë= é~êí= çÑ= íÜÉ=tÉääÅçãÉ= qêìëíÛë= áåáíá~íáîÉ= íç= ÉåÅçìê~ÖÉ= êÉëÉ~êÅÜ= áå= íÜÉ= Üáëíçêó= çÑ= íïÉåíáÉíÜ=ÅÉåíìêó= ãÉÇáÅáåÉ= ~åÇ= ãÉÇáÅ~ä= ëÅáÉåÅÉI= ~= ëÅÜÉãÉ= Ü~ë= ÄÉÉå= ÇÉîÉäçéÉÇ= Ñçê= ~Å~ÇÉãáÅ~ääó= Ä~ëÉÇ=ÅäáåáÅá~åë= çê= ëÅáÉåíáëíë= ïÜç=ïáëÜ= íç= ìåÇÉêí~âÉ= ~= ëÜçêí= éÉêáçÇ= çÑ= ÑìääJíáãÉ= êÉëÉ~êÅÜ= íç= äÉ~êå= íÜÉ=ãÉíÜçÇë=çÑ=ÜáëíçêáÅ~ä=ëÅÜçä~êëÜáé=~åÇ=íç=ÉñéäçêÉ=íÜÉ=ïáÇÉê=ÇÉíÉêãáå~åíë=~åÇ=ÅçåíÉñíë=çÑ=íÜÉáê=çïå=ãÉÇáÅ~ä=~åÇ= ëÅáÉåíáÑáÅ=ïçêâK=cìêíÜÉê=ÇÉí~áäë=~î~áä~ÄäÉ= Ñêçã=íÜÉ=eáëíçêó=çÑ=jÉÇáÅáåÉ=mêçÖê~ããÉ=j~å~ÖÉê=~í=íÜÉ=tÉääÅçãÉ=qêìëíK=

3

Early Heart Transplant Surgery in the UK

oçëë= ~åÇ=jê=açå~äÇ= içåÖãçêÉ= ~åÇ= íÜÉáê= íÉ~ã=ÇÉëÉêîÉ= íÜÉ= ÅçåÖê~íìä~íáçåë= çÑ=íÜÉáê=ÅçääÉ~ÖìÉë=çå=íÜÉ=ëìÅÅÉëë=çÑ=íÜÉáê=Ñáêëí=Üìã~å=íê~åëéä~åíKP==

fí= ï~ë= ãÉí= ïáíÜ= ~ÅÅä~áã= ~åÇ= íÜçëÉ= íÜêÉÉ= å~ãÉÇ= ÖÉåíäÉãÉå= ~êÉ= ~ää= ÜÉêÉK= qÜÉ=çéÉê~íáçå=ï~ë= êÉéçêíÉÇ= áå= ~= ëóãéçëáìã=çå=Üìã~å=ÜÉ~êí= íê~åëéä~åí~íáçå= áå= íÜÉ=^ãÉêáÅ~å=gçìêå~ä=çÑ=`~êÇáçäçÖó=áå=aÉÅÉãÄÉê=NVSUI=~åÇ=áåíÉêÉëíáåÖäóI=íÜÉ=çéÉåáåÖ=èìçí~íáçå=áë=Ñêçã=páê=mÉíÉê=jÉÇ~ï~ê=ïÜç=ë~áÇ=~í=íÜÉ=íáãÉI=áå=pÉéíÉãÄÉê=NVSUW==

qÜÉ= íê~åëéä~åí~íáçå= çÑ= çêÖ~åë= ïáää= ÄÉ= ~ëëáãáä~íÉÇ= áåíç= çêÇáå~êó= ÅäáåáÅ~ä=éê~ÅíáÅÉKKK~åÇ=íÜÉêÉ=áë=åç=åÉÉÇ=íç=ÄÉ=éÜáäçëçéÜáÅ~ä=~Äçìí=áíK=qÜáë=ïáää=ÅçãÉ=~Äçìí=Ñçê=íÜÉ=ëáåÖäÉ=~åÇ=ëìÑÑáÅáÉåí=êÉ~ëçå=íÜ~í=éÉçéäÉ=~êÉ=ëç=ÅçåëíáíìíÉÇ=íÜ~í=íÜÉó=ïçìäÇ=ê~íÜÉê=ÄÉ=~äáîÉ=íÜ~å=ÇÉ~ÇKQ==

fí=áë=Ñ~ëÅáå~íáåÖ=íÜ~í=ÜÉ=ëÜçìäÇ=Ü~îÉ=ë~áÇ=íÜ~í=~í=íÜÉ=íáãÉI=~åÇ=çÑ=ÅçìêëÉ=ïÉ=ïÜç=~êÉ=ÜÉêÉ=åçï=âåçï=íÜ~í= íÜÉ=çåäó= äáãáí=çå= íÜÉ=åìãÄÉê=çÑ=ÜÉ~êí= íê~åëéä~åí~íáçåë=ÇçåÉ= áå= íÜáë= ÅçìåíêóI= ~åÇ= áå= ãçëí= ÅçìåíêáÉë= áå= íÜÉ= ïçêäÇI= áë= íÜÉ= åìãÄÉê= çÑ=~î~áä~ÄäÉ=Ççåçê=çêÖ~åëK=få=~=ï~óI=íÜ~í= áë= àìëí=~ë=ïÉää= Ñçê=íÜÉ=íáãÉ=ÄÉáåÖI=ÄÉÅ~ìëÉ=çíÜÉêïáëÉ=íÜÉ=Éñéäçëáçå=çÑ=íÜ~í=éê~ÅíáÅÉ=ïçìäÇ=ÄÉ=ÜìÖÉK=pç=ÜÉ~êí=íê~åëéä~åí~íáçå=åçï=áë=îÉêó=ãìÅÜ=é~êí=çÑ=çìê=êçìíáåÉ=éê~ÅíáÅÉI=~åÇ=é~êí=çÑ=íÜÉ=íêÉ~íãÉåí=çÑ=íÜ~í=ëí~ÖÉ=çÑ=îÉåíêáÅìä~ê=Ñ~áäìêÉK=qÜ~íÛë=íÜÉ=ëí~ÖÉ=ïÉ=Ü~îÉ=Öçí=íçK=

tÜ~í=f=ïçìäÇ=äáâÉ=íç=Çç=áë=Å~ää=ìéçå=ëÉîÉê~ä=áåÇáîáÇì~äë=íç=ã~âÉ=~=ëí~êí=~åÇ=íÉää=ìë=íÜÉáê=êÉÅçääÉÅíáçåë=çÑ=íÜÉ=ÉîÉåí=~åÇ=ë~ó=~ë=äáííäÉ=çê=~ë=ãìÅÜ=~ë=óçì=äáâÉI=~äíÜçìÖÜ=íÜÉêÉ=ïáää=ÄÉ=éäÉåíó=çÑ=íáãÉ=íç=ÅçãÉ=Ä~Åâ=~åÇ=ÇáëÅìëë=ÑìêíÜÉêK=jê=açå~äÇ=oçëëI=ïçìäÇ=óçì=äáâÉ=íç=ëí~êí=~åÇ=íÉää=ìë=~Äçìí=íÜÉ=çéÉê~íáçå=~åÇ=ïÜ~í=ï~ë=Ü~ééÉåáåÖ=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä\=

Mr Donald RossWR=f=~ã=åçí=ëìêÉ=Éñ~Åíäó=ïÜ~í=óçì=ï~åí=íç=âåçïI=ÄÉÅ~ìëÉ=ïÉ=ïÉêÉ=ÅçåÅÉêåÉÇ=ïáíÜ= íêóáåÖ= íç= ÖÉí= ~= ÜÉ~êí= íê~åëéä~åí= ÖçáåÖ= Ñçê= ëçãÉ= íáãÉ=ÄÉÑçêÉ= íÜÉ=~Åíì~ä=çéÉê~íáçåK=tÉ=ïÉêÉ=~ää=âÉóÉÇ=ìéI=ïÉ=âåÉï=~Äçìí=áíI=ïÉ=Ü~Ç=~=é~íáÉåíI=ïÉ=Ü~Ç=Öçí=~=Ççåçê=~åÇ=ïÉ=ÇáÇ=~=íê~åëéä~åíI=~åÇ=áí=ïçêâÉÇ=ëìêéêáëáåÖäó=ïÉääI=áåáíá~ääó=~åóÜçïK= f= ëìééçëÉI= ~ë= çåÉ=çÑ= ~= Öêçìé=çÑ=éÉçéäÉ=ÇçáåÖ=ÜÉ~êí= íê~åëéä~åíë= ~í= íÜ~í=íáãÉI= íÜ~í= íÜÉ= ÅçåÅÉéí= çêáÖáå~íÉÇ=ãìÅÜ= É~êäáÉêK= pìêÖÉçåë= áå= ÖÉåÉê~äI= ~ää= Å~êÇá~Å=ëìêÖÉçåëI=ïÉêÉ=~ï~êÉ=çÑ=íÜÉ=åÉÉÇ=Ñçê=~=íê~åëéä~åí=~åÇ=ïÉêÉ=~ÄäÉ=íç=Çç=~=íê~åëéä~åí==

=================================================P=^åçåK=ENVSUF=cáêëí=_êáíáëÜ=ÜÉ~êí=íê~åëéä~åíK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=ááW=PNRK=Q=cêçã=páê=mÉíÉê=jÉÇ~ï~êÛë=ëéÉÉÅÜ=~í=íÜÉ=pÉÅçåÇ=fåíÉêå~íáçå~ä=`çåÖêÉëë=çÑ=íÜÉ=qê~åëéä~åí~íáçå=pçÅáÉíóI= NN= pÉéíÉãÄÉê= NVSUI= kÉï= vçêâ= `áíóI= áå= h~åíêçïáíò= ^I= e~ääÉê= g= aK= EÉÇëF= ENVSUF=póãéçëáìã=çå=eìã~å=eÉ~êí=qê~åëéä~åí~íáçåW=fåíêçÇìÅíáçåK=^ãÉêáÅ~å=gçìêå~ä=çÑ=`~êÇáçäçÖó=OOW=TSNÓTSRI=èìçíÉ=çå=é~ÖÉ=TSNK=R=jê=açå~äÇ=k=oçëë=co`p= EÄK=NVOOF=ï~ë=`çåëìäí~åí=`~êÇá~Å=pìêÖÉçå= Eåçï=bãÉêáíìëF= ~í= íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä=Eåçï=íÜÉ=oçó~ä=_êçãéíçå=k~íáçå~ä=eÉ~êí=~åÇ=iìåÖ=eçëéáí~äFI=içåÇçåI=Ñêçã=NVSP= íç=NVVPI= ~åÇ= ~í=dìóÛë=eçëéáí~äI=içåÇçåI= Ñêçã=NVRU= íç=NVTUK=pÉÉ=oçëë=aK= ENVSUF=oÉéçêí=çÑ=~=ÜÉ~êí=íê~åëéä~åí=çéÉê~íáçåK=^ãÉêáÅ~å=gçìêå~ä=çÑ=`~êÇáçäçÖó=OOW=UPUÓUPVK=

=4

Early Heart Transplant Surgery in the UK

íÉÅÜåáÅ~ääóK=qÜÉó=Ü~Ç=ÄÉÉå=éê~ÅíáëáåÖ=áå=íÜÉ=ä~Äçê~íçêáÉë=Ñçê=ëçãÉ=íáãÉK=f=ïçìäÇ=äáâÉ=íç=ÅçãÉ=Ä~Åâ=íç=íÜÉ=Ñ~íÜÉê=ÑáÖìêÉë=áå=íÜáë=~êÉ~I=jÉëëêë=pÜìãï~ó=~åÇ=içïÉê=çÑ=m~äç= ^äíçI= `~äáÑçêåá~I= åÉ~ê= p~å= cê~åÅáëÅçI= Ü~Ç= ÄÉÉå= ëÅáÉåíáÑáÅ~ääó= ïçêâáåÖ= çå=íê~åëéä~åí~íáçå= çÑ= íÜÉ= ÜÉ~êí= áå= ~åáã~äëKS= tÉ= ïÉêÉ= ~ää= éä~óáåÖ= ~êçìåÇ= ïáíÜ= áí=íÉÅÜåáÅ~ääó=çåäó=~åÇ=ïÉêÉ=ÉñÅáíÉÇ=~Äçìí=ëÉïáåÖ=áå=íÜÉ=ÜÉ~êíI=ïÜáÅÜ=áë=áå=Ñ~Åí=ïÜÉå=óçì= ÅçãÉ= íç= íÜáåâ= ~Äçìí= áíI= èìáíÉ= ~= ëáãéäÉ= éäìãÄáåÖ= àçÄK=lìê= ÑêáÉåÇ= ~åÇ=ãó=ÅçääÉ~ÖìÉI=`Üêáëíá~~å=_~êå~êÇIT=ïÉåí=íç=îáëáí=m~äç=^äíçI=ë~ï=áíI=Å~ãÉ=Ä~Åâ=íÜêçìÖÜ=içåÇçå= ~åÇ= ë~áÇI= Úf= ~ã= ÖçáåÖ= íç= Çç= íÜ~íÛK= içJ~åÇJÄÉÜçäÇI= ïáíÜáå= ~= ÅçìéäÉ= çÑ=ãçåíÜë=ÜÉ=ÇáÇ= áíK=eÉ=Ü~Ç= íÜÉ= Åçìê~ÖÉ= íç=Çç= áíI=Äìí= íÜÉ=Ä~ÅâÖêçìåÇ=âåçïäÉÇÖÉ=ÄÉäçåÖë= íç= íÜÉ= pÜìãï~ó= ÖêçìéI= íÜÉêÉÛë= åç= ÇçìÄí= ~Äçìí= íÜ~íK= tÉ= ïÉêÉ= àìëí=ÑçääçïáåÖI= äáâÉ= ëÜÉÉé= áå= íÜÉ=Ä~ÅâÖêçìåÇK=tÉ=~ää=ÇáÇ= íÜÉ=çéÉê~íáçå=ÄÉÅ~ìëÉ= íÜÉó=ëÜçïÉÇ=ìë=íÜÉ=ï~óI=~åÇ=_~êå~êÇ=Ü~Ç=íÜÉ=Åçìê~ÖÉ=íç=Çç=áí=ÑáêëíK=f=íÜáåâ=íÜ~íÛë=~ää=f=Ü~îÉ=Öçí=íç=ë~ó=~í=íÜáë=ëí~ÖÉK==

TreasureW=mêçÑÉëëçê=açå~äÇ=içåÖãçêÉI=óçì=ïÉêÉ=çåÉ=çÑ=íÜÉ=ëìêÖÉçåë=áåîçäîÉÇI=~ë=å~ãÉÇ=áå=íÜÉ=ÉÇáíçêá~ä=çÑ=íÜÉ=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~äK=`~å=óçì=íÉää=ìë=~=Äáí=ãçêÉ=~Äçìí=íÜÉ=éêçÅÉëëI=íÜÉ=íÜáåâáåÖ\=

Professor Donald LongmoreWU= vÉëI= áåÇÉÉÇK= f= íÜáåâ= açå~äÇ= xoçëëz= Ü~ë= ÄÉÉå=ê~íÜÉê=ãçÇÉëí= ~Äçìí= íÜÉ=ïÜçäÉ= íÜáåÖK=cáêëí=çÑ= ~ääI=ïÉ=ïÉêÉ= ~ää= ~ï~êÉ= íÜ~í=^äÉñáë=`~êêÉä= Ü~Ç= ÇçåÉ= ~å= ÉñéÉêáãÉåí~ä= ÜÉ~êí= íê~åëéä~åí= áå= NVMR= ~åÇ= íÜ~í=aÉãáâÜçî=Ü~Ç= ÇçåÉ= ~= ëÉêáÉë= áå= NVRO= ~åÇ= ïÉ= ïÉêÉ= ~äëç= ~ï~êÉ= íÜ~í= pÜìãï~ó= ï~ë= ÇçáåÖ=êÉëÉ~êÅÜ= áå= íÜáë= ~êÉ~KV= tÉ= ~ééäáÉÇ= Ñçê= ~= _êáíáëÜ= eÉ~êí= cçìåÇ~íáçå= Öê~åíI= páê=

=================================================S=kçêã~å=pÜìãï~ó=EÄK=NVOPFI=ëìêÖÉçåI=ãçîÉÇ=íç=m~äç=^äíç=áå=NVRTK=oáÅÜ~êÇ=içïÉê=EÄK=NVOVFI=ëìêÖÉçåI= ãçîÉÇ= íç= m~äç= ^äíç= áå= NVRUK= pÉÉ= içïÉê= o= oI= pÜìãï~ó= kK= ENVSMF= píìÇáÉë= çå= íÜÉ=çêíÜçíçéáÅ= Üçãçíê~åëéä~åí~íáçå= çÑ= íÜÉ= Å~åáåÉ= ÜÉ~êíK= pìêÖáÅ~ä= cçêìã= NNW= NUÓNVK= içïÉê= o= oI=píçÑÉê=o=`I=pÜìãï~ó=k=bK= ENVSNF=eçãçîáí~ä= íê~åëéä~åí~íáçå=çÑ= íÜÉ=ÜÉ~êíK= gçìêå~ä=çÑ=qÜçê~ÅáÅ=~åÇ=`~êÇáçî~ëÅìä~ê=pìêÖÉêó=QNW=NVSÓOMQK=pÉÉ=~äëç=açåÖ=bI=pÜìãï~ó=k=bI=içïÉê=o=oK=ENVVNF=^=ÜÉ~êí=íê~åëéä~åí~íáçå=å~êê~íáîÉW=qÜÉ=É~êäáÉëí=óÉ~êëK=få=qÉê~ë~âá=mK=EÉÇKF=eáëíçêó=çÑ=qê~åëéä~åí~íáçåW=qÜáêíóJÑáîÉ=êÉÅçääÉÅíáçåëK=içë=^åÖÉäÉëI=`^W=r`i^=qáëëìÉ=qóéáåÖ=i~Äçê~íçêó=Ñçê=íÜÉ=oÉÖÉåíë=çÑ=íÜÉ=råáîÉêëáíó=çÑ=`~äáÑçêåá~I=QPRÓQQVK=T= mêçÑÉëëçê= `Üêáëíá~~å= _~êå~êÇ= ENVOOÓOMMNF= Ü~ë= ÄÉÉå= pÉåáçê= `çåëìäí~åí= ~åÇ= pÅáÉåíáëí= áå=oÉëáÇÉåÅÉ=~í=íÜÉ=lâä~Üçã~=eÉ~êí=`ÉåíêÉI=_~éíáëí=jÉÇáÅ~ä=`ÉåíêÉI=ëáåÅÉ=NVURK=eÉ=ï~ë=mêçÑÉëëçê=çÑ=pìêÖáÅ~ä=pÅáÉåÅÉ=~í=`~éÉ=qçïå=råáîÉêëáíó=Ñêçã=NVSU=íç=NVUPI=mêçÑÉëëçê=bãÉêáíìë=Ñêçã=NVUQK=eÉ= éÉêÑçêãÉÇ= íÜÉ=ïçêäÇÛë= Ñáêëí= Üìã~å=ÜÉ~êí= íê~åëéä~åí= çéÉê~íáçå= çå=içìáë=t~ëÜâ~åëâó= ~í= íÜÉ=dêççíÉ=pÅÜììê=eçëéáí~äI=`~éÉ=qçïåI=pçìíÜ=^ÑêáÅ~I=çå=P=aÉÅÉãÄÉê=NVSTK=xìéÇ~íÉÇ=NVLNLMSz=U= mêçÑÉëëçê= açå~äÇ= içåÖãçêÉ= l_b= co`pbÇ= co`o= EÄK= NVOUF= ï~ë= mêçÑÉëëçê= çÑ= j~ÖåÉíáÅ=oÉëçå~åÅÉ=áå=jÉÇáÅáåÉ=~åÇ=aáêÉÅíçê=çÑ=íÜÉ=jo=råáíI=oçó~ä=_êçãéíçå=k~íáçå~ä=eÉ~êí=~åÇ=iìåÖ=eçëéáí~äI= içåÇçåI= Ñêçã= NVUO= íç= NVVPI= åçï= bãÉêáíìëK= eÉ= áë= aáêÉÅíçê= çÑ= _êçãéíçå= jo=båíÉêéêáëÉë= ~åÇ= `Ü~áêã~å= çÑ= joPMMMI= ~= Åçãé~åó= éêçÇìÅáåÖ= ~Çî~åÅÉÇ= ã~ÖåÉíáÅ= êÉëçå~åÅÉ=ÉèìáéãÉåíK=eÉ=ï~ë=`çåëìäí~åí=pìêÖÉçå=~åÇ=`äáåáÅ~ä=mÜóëáçäçÖáëí=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä=Ñêçã=NVSP=íç=NVUMK=V=^äÉñáë=`~êêÉä=ï~ë=~ï~êÇÉÇ=íÜÉ=kçÄÉä=mêáòÉ=áå=mÜóëáçäçÖó=çê=jÉÇáÅáåÉ=áå=NVNO=Ñçê=Üáë=ãÉíÜçÇ=çÑ=ëìíìêáåÖ=ÄäççÇ=îÉëëÉäëI=ïÜáÅÜ=éÉêãáííÉÇ=~êíÉêó= êÉéä~ÅÉãÉåíK=pÉÉ=`~êêÉä=^I=dìíÜêáÉ=`=`K= ENVMRF=qÜÉ=íê~åëéä~åí~íáçå=çÑ=îÉáåë=~åÇ=çêÖ~åëK=^ãÉêáÅ~å=jÉÇáÅáåÉ=NMW=NNMNÓMOK=aìêáåÖ=íÜÉ=NVQMë=~åÇ=

5

Early Heart Transplant Surgery in the UK

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=========================================================================================================================NVRMë= sä~Çáãáê= mÉíêçîáÅÜ= aÉãáâÜçî= éÉêÑçêãÉÇ= ã~åó= íê~åëéä~åí~íáçåë= çå= ÇçÖë= ~í= íÜÉ= j= s=içãçåçëçî=jçëÅçï=pí~íÉ=råáîÉêëáíóK=pÉÉ=aÉãáâÜçî=s=mK=ENVSOF=bñéÉêáãÉåí~ä=qê~åëéä~åí~íáçå=çÑ=sáí~ä=lêÖ~åë=x_=e~áÖÜ=Eíê~åëFzK=kÉï=vçêâW=`çåëìäí~åíë=_ìêÉ~ìK=oìëëá~å=íÉñí=éìÄäáëÜÉÇ=Äó=pí~íÉ=mêÉëë= Ñçê=jÉÇáÅ~ä=iáíÉê~íìêÉ= áå=NVSMK=cçê= ~=ÖÉåÉê~ä= êÉîáÉï=çÑ= É~êäó=ïçêâ= áå=Å~êÇá~Å= ëìêÖÉêóI= ëÉÉ=qê∏ÜäÉê=rK= ENVVUF= cêçã=oÉÜåÛë= êáëâó= Å~êÇá~Å= ëìíìêÉ= ENUVSF= íç= êçìíáåÉ= Å~êÇá~Å= íê~åëéä~åí~íáçå=ENVVSFW=eáëíçêáÅ~ä=~åÇ=ÉíÜáÅ~ä=éÉêëéÉÅíáîÉëK=gçìêå~ä=çÑ=`~êÇáçî~ëÅìä~ê=pìêÖÉêó=PVW=TÓOOK=NM= páê= qÜçã~ë=eçäãÉë= pÉääçêë= ENVMOÓNVUTF= ï~ë= bãÉêáíìë= pìêÖÉçå= ~í= íÜÉ=jáÇÇäÉëÉñ=eçëéáí~äI=eçåçê~êó= `çåëìäíáåÖ= pìêÖÉçå= íç= íÜÉ= k~íáçå~ä= eÉ~êí= eçëéáí~äI= `çåëìäíáåÖ= pìêÖÉçå= ~í= íÜÉ=içåÇçå=`ÜÉëí=eçëéáí~äI=e~êÉÑáÉäÇ=eçëéáí~ä=~åÇ=_ÉåÉåÇÉå=`ÜÉëí=eçëéáí~äK=eÉ=ï~ë=mêÉëáÇÉåí=çÑ=íÜÉ=oçó~ä=`çääÉÖÉ=çÑ=pìêÖÉçåë=Ñêçã=NVSV=íç=NVTOK=pÉÉ=pÉääçêë=q=eK=ENVSTF=qÜÉ=ÖÉåÉëáë=çÑ=ÜÉ~êí=ëìêÖÉêóK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áW=PURÓPVPK=NN=aê=a~îáÇ=içåÖ=ï~ë=ÜÉ~Ç=çÑ=íÜÉ=jÉÇáÅ~ä=oÉëÉ~êÅÜ=aáîáëáçå=~åÇ=Ñêçã=NVSU=íç=NVTO=aáêÉÅíçê=çÑ=íÜÉ= tÉääÅçãÉ= oÉëÉ~êÅÜ= i~Äçê~íçêáÉëI= _ÉÅâÉåÜ~ãI= hÉåíK= ^ò~íÜáçéêáåÉ= Efãìê~åI= tÉääÅçãÉFI= ~=ÇÉêáî~íáîÉ= çÑ= SJãÉêÅ~éíçéìêáåÉI= áë= ~å= áããìåçëìééêÉëë~åí=ïáÇÉäó=ìëÉÇ= Ñçê= íê~åëéä~åí= êÉÅáéáÉåíëK=pÉÉ=`~äåÉ=o=vI=^äÉñ~åÇêÉ=d=mI=jìêê~ó=g=bK=ENVSOF=^=ëíìÇó=çÑ=íÜÉ=ÉÑÑÉÅíë=çÑ=ÇêìÖë=áå=éêçäçåÖáåÖ=ëìêîáî~ä=çÑ=ÜçãçäçÖçìë=êÉå~ä=íê~åëéä~åíë=áå=ÇçÖëK=^åå~äë=çÑ=íÜÉ=kÉï=vçêâ=^Å~ÇÉãó=çÑ=pÅáÉåÅÉ=VVW=TQPÓTSNK= dÉêíêìÇÉ= _ÉääÉ= bäáçå= ENVNUÓNVVVF= ~åÇ= dÉçêÖÉ= eáíÅÜáåÖë= ENVMRÓNVVUF= ëÜ~êÉÇ= íÜÉ=NVUU=kçÄÉä=mêáòÉ=áå=mÜóëáçäçÖó=çê=jÉÇáÅáåÉ=ïáíÜ=páê=g~ãÉë=_ä~ÅâI=Ñçê=íÜÉáê=ÇêìÖ=ÇáëÅçîÉêáÉëK=cçê=íÜÉ=ÇÉîÉäçéãÉåí=çÑ=SJãÉêÅ~éíçéìêáåÉI=ëÉÉ=bäáçå=d=_K=ENVVPF=qÜÉ=èìÉëí=Ñçê=~=ÅìêÉK=^ååì~ä=oÉîáÉï=çÑ=mÜ~êã~ÅçäçÖó=~åÇ=qçñáÅçäçÖó=PPW=NÓOPK=NO= ^åíÜçåó= eìÖÜ= aÉ_çåç= éìÄäáëÜÉÇ= çå= äìåÖI= ÜÉ~êí= ~åÇ= äáîÉê= íê~åëéä~åí~íáçå= ïÜáäÉ= ~í= íÜÉ=aÉé~êíãÉåí=çÑ=pìêÖÉêóI=mçëíÖê~Çì~íÉ=jÉÇáÅ~ä=pÅÜççäI=e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=ÄÉÑçêÉ=ãçîáåÖ= íç= íÜÉ= råáîÉêëáíó= çÑ= t~äÉë= áå= NVSVK= pÉÉ= aÉ_çåç= ^= eK= ENVSSF= i~= íê~åëéä~åí~íáçå=Å~êÇáçéìäãçå~áêÉ= íçí~äÉK= ^åå~äÉë= ÇÉ= `ÜáêìêÖá~É= Éí= qÜçê~ÅáèìÉ= Éí= `~êÇáçJî~ëÅìä~áêÉ= RW= OQPÓOQUK=bÇï~êÇ=cê~åÅáë=`Ü~êäÉë=mìÄäáìë=aÉ_çåçI=~=ãÉÇáÅ~ääó=íê~áåÉÇ=éëóÅÜçäçÖáëíI=ï~ë=~í=^ÇÇÉåÄêççâÉÛë=eçëéáí~äI= `~ãÄêáÇÖÉI= Ü~îáåÖ= ïêáííÉå= é~éÉêë= çå= ÄäççÇ= ÑäçïK= eÉ= äÉÅíìêÉÇ= áå= ãÉÇáÅáåÉ= ~í=`~ãÄêáÇÖÉ= Ñêçã= NVTS= íç= NVUPI= ïÜÉêÉ= ÜÉ= ÄÉÅ~ãÉ= áåîçäîÉÇ= áå= íÜÉ= éêçãçíáçå= çÑ= íÜÉ= ëâáääë= çÑ=íÜáåâáåÖK=eÉ=Ü~ë=ÄÉÉå=aáêÉÅíçê=çÑ=íÜÉ=`çÖåáíáîÉ=oÉëÉ~êÅÜ=qêìëí=ëáåÅÉ=NVTNK=pÉÉ=aÉ_çåç=b=c=`=mK= ENVSTF=qÜÉ= rëÉ= çÑ= i~íÉê~ä= qÜáåâáåÖK= içåÇçåW= `~éÉK= sáÅíçê= gçëÉéÜ=aÉ_çåç= ï~ë= áå= ÖÉåÉê~ä=éê~ÅíáÅÉ=áå=iÉáÅÉëíÉêK=

=6

Early Heart Transplant Surgery in the UK

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7

Early Heart Transplant Surgery in the UK

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=8

Early Heart Transplant Surgery in the UK

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9

Early Heart Transplant Surgery in the UK

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=10

Early Heart Transplant Surgery in the UK

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Donald RossW= f= Ü~îÉ= ÄÉÉå= Ñ~ëÅáå~íÉÇ= íç= ÜÉ~ê= íÜÉ= ëíçêó= ëç= Ñ~ê= xi~ìÖÜíÉêzK= fí=êÉãáåÇë=ãÉ= çÑ= íÜÉ= Çê~ã~íáÅ= çÅÅ~ëáçå=ïÜÉå= íÜÉ= ÜÉ~êí= ÄÉÖ~å= íç= ÄÉ~í= Ó=ïÉ=ïÉêÉ=ÖêÉ~íäó= êÉäáÉîÉÇK= ^í= Ñáêëí= íÜÉ= ÜÉ~êí= ~Åíáçå=ï~ë= éççê= ìåíáä= ïÉ= Ö~îÉ= áí= ~= ëíáãìä~åí=EáëçéêÉå~äáåÉFK=tÉ=ïÉêÉ= áÖåçê~åí= ~Äçìí=ïÜ~í= êÉ~Åíáçå= íç= ÉñéÉÅí= Ñêçã= íÜÉ=ÜÉ~êíI=Äìí=Ñçêíìå~íÉäóI=å~íìêÉ=íççâ=çîÉê=~åÇ=íÜÉ=ÜÉ~êí=~Åíáçå=ÅçåíáåìÉÇ=ë~íáëÑ~ÅíçêáäóK==

TreasureW=tÉääI=íÜ~åâ=óçì=îÉêó=ãìÅÜK=kçïI=çÑ=ÅçìêëÉI=ïÉ=Ü~îÉ=íêáÉÇ=îÉêó=Ü~êÇ=íç=íê~Åâ=Ççïå=~ää=íÜÉ=éÉçéäÉ=ïÜç=f=âåÉï=ïÉêÉ=áåîçäîÉÇ=~åÇ=f=ã~ó=Ü~îÉ=ãáëëÉÇ=ëçãÉK=cçê= ~ää= f= âåçïI= ëçãÉ= éÉçéäÉ= Ü~îÉ= ÅçãÉ= íçÇ~ó= ïÜç= ïÉêÉ= áåîçäîÉÇ= Äìí= f= ÇçåÛí=âåçï=ïÜç=íÜÉó=~êÉ=Ó=Äìí=Çç=éäÉ~ëÉ=îçäìåíÉÉê=íç=ëéÉ~âK=^ä~å=dáäëíçå=áë=íÜÉ=çåÉ=f=íÜáåâ=ïÉ=ëÜçìäÇ=~ëâI=ÄÉÅ~ìëÉ=ÜÉ=ï~ë=çåÉ=çÑ=íÜÉ=íïç=~å~ÉëíÜÉíáëíë=éêÉëÉåíK=

Dr Alan GilstonWOQ= cáêëí= çÑ= ~ääI= f=Ü~îÉ= àìëí= êÉãáåÇÉÇ=açå~äÇ=içåÖãçêÉ= íÜ~í= áå=Ñ~Åí=íÜÉ=Ñáêëí=íê~åëéä~åí=ï~ë=~=éáÖ=ÜÉ~êí=íê~åëéä~åí=áå=íÜÉ=Üçëéáí~äI=~åÇ=f=êÉãÉãÄÉê=ÅÜ~ëáåÖ=éáÖÖó=êçìåÇ=íÜÉ=ÅçêêáÇçêë=çÑ=íÜÉ=Üçëéáí~äK=f=Ü~Ç=åÉîÉê=~å~ÉëíÜÉíáòÉÇ=~=éáÖ=ÄÉÑçêÉI=Äìí=íÜ~í=ï~ëåÛí=íÉêêáÄäó=ëìÅÅÉëëÑìäI=ëç=ïÉ=ÇáÇåÛí=Ü~îÉ=íÜÉ=éêÉëë=áå=çå=íÜ~íK=qÜÉ= Ñáêëí= íÜáåÖ= f= âåÉï= ~Äçìí= íÜÉ= Üìã~å= ÜÉ~êí= íê~åëéä~åí=ï~ë= f= Öçí= ~= êÉÇ= ~äÉêí=ëáÖå~ä=Äó=éÜçåÉ= Ñêçã=açå~äÇ=oçëë=~åÇ=f=Ç~ëÜÉÇ= áå=~åÇ=ïÉ= íççâ= íÜÉ=é~íáÉåí= íç=íÜÉ~íêÉK= qÜÉêÉ=ïÉêÉ= åç= ëéÉÅá~ä= ~å~ÉëíÜÉíáÅ= éêçÄäÉãë= ÄÉÅ~ìëÉI= ~ë= óçì= âåçïI= íÜÉ=èìÉëíáçå= çÑ= é~íáÉåíë= ÄÉáåÖ= Ñáí= Ñçê= ~= ÖÉåÉê~ä= ~å~ÉëíÜÉíáÅ= áë= ~ÄëçäìíÉ= êìÄÄáëÜ= ~åÇ=~ëâáåÖ=~=éÜóëáÅá~å=~Äçìí=Üáë=çéáåáçå=~ë= íç=ïÜÉíÜÉê= ~=é~íáÉåí= áë= Ñáí= Ñçê= ~=ÖÉåÉê~ä=~å~ÉëíÜÉíáÅ=áë=ä~êÖÉäó=~=ï~ëíÉ=çÑ=íáãÉK=qÜÉêÉ=áë=åç=ëìÅÜ=íÜáåÖ=~ë=åçí=ÄÉáåÖ=Ñáí=Ñçê=~=ÖÉåÉê~ä=~å~ÉëíÜÉíáÅKOR=qÜÉó=ã~ó=åçí=ÄÉ=Ñáí=Ñçê=íÜÉ=çéÉê~íáçåI=Äìí=íÜÉêÉ=áë=ÅÉêí~áåäó==================================================OQ=aê=^ä~å=dáäëíçå=co`p=cc^o`p=ENVOUÓOMMRF=ï~ë=pÉåáçê=`çåëìäí~åí=^å~ÉëíÜÉëáçäçÖáëí=~í=íÜÉ=k~íáçå~ä= eÉ~êí= eçëéáí~ä= Ñêçã= NVST= íç= NVVMK= ^= ÑçêãÉê= éêÉëáÇÉåí= ~åÇ= ÑçìåÇÉê= çÑ= íÜÉ=tçêäÇ=cÉÇÉê~íáçå=çÑ=pçÅáÉíáÉë=çÑ=fåíÉåëáîÉ=~åÇ=`êáíáÅ~ä=`~êÉ=jÉÇáÅáåÉI=pÉÅêÉí~êóJdÉåÉê~ä=~åÇ=áåáíá~íçê=çÑ=íÜÉ=cáêëí=tçêäÇ=`çåÖêÉëë=çå=fåíÉåëáîÉ=`~êÉ=áå=NVTQI=~åÇ=`Ü~áêã~å=~åÇ=ÑçìåÇÉê=çÑ=íÜÉ=fåíÉåëáîÉ=`~êÉ= pçÅáÉíóI=ïÜç= Ö~îÉ= íÜÉ= Ñáêëí=dáäëíçå=iÉÅíìêÉI= ~åÇ=páäîÉê=jÉÇ~ääáëí= çÑ= íÜÉ=pçÅáÉíóK= xìéÇ~íÉÇ=NVLNLMSz=OR=aê=^ä~å=dáäëíçå=ïêçíÉW=ÚjÉÅÜ~åáÅ~ä=îÉåíáä~íáçå=éä~óÉÇI=~åÇ=f=ÄÉäáÉîÉ=ÅçåíáåìÉë=íç=éä~óI=~=îáí~ä=êçäÉ= áå= ë~îáåÖ= é~íáÉåíë= ïáíÜ= ~= êÉëéáê~íçêó= éêçÄäÉã= ~ÑíÉê= Å~êÇá~Å= ëìêÖÉêóK= _ìí= áí= ï~ë= ëÉîÉêÉäó=çééçëÉÇ=Äó=ã~åó= ëìêÖÉçåëI= ~åÇ= íÜáë= áë= ëç= ÉîÉå= íçÇ~óK=j~åó= óÉ~êë= ~= Öç= f= éìÄäáëÜÉÇ= ~= Ñçêãìä~W=“páÅâ= é~íáÉåíë= çÑíÉå= åÉÉÇ=ãÉÅÜ~åáÅ~ä= îÉåíáä~íáçå= Ñçê= êÉëéáê~íçêó= Ñ~áäìêÉK= páÅâ= é~íáÉåíë= çÑíÉå=ÇáÉK=bêÖç= Eáå= íÜÉ= ëìêÖÉçåÛë= îáÉïF= îÉåíáä~íçêë= âáää= é~íáÉåíëÒK= f= Ü~îÉ= ëìÑÑÉêÉÇ= Öê~îÉ= éêçÑÉëëáçå~ä=ÅçåëÉèìÉåÅÉë=Ñêçã=çåÉ=Å~ëÉ=ïÜÉêÉ=~=ëìêÖÉçå=êÉÑìëÉÇ=íç=~ääçï=ãÉÅÜ~åáÅ~ä=îÉåíáä~íáçå=áå=~=é~íáÉåí=ïÜç=ÅçìäÇ=Ü~îÉ=ÄÉÉå=ë~îÉÇK=qÜÉ=íêçìÄäÉ=áë=íÜ~í=ïÜáäëí=äáé=ëÉêîáÅÉ=áë=é~áÇ=íç=çíÜÉê=ãÉãÄÉêë=çÑ=íÜÉ=íÉ~ãI=áå=Ñ~Åí=íÜÉ=ëìêÖÉçå=í~âÉë=~ää=íÜÉ=ÅêÉÇáíK=qÜÉ=_êçãéíçå=eçëéáí~ä=ëçãÉ=óÉ~êë=~Öç=áåëíáíìíÉÇ=~=

11

Early Heart Transplant Surgery in the UK

åç=ëìÅÜ=íÜáåÖ=~ë=åçí=ÄÉáåÖ=Ñáí=Ñçê=íÜÉ=~å~ÉëíÜÉíáÅK=^ÑíÉê=íÜÉ=çéÉê~íáçå=ïÉ=Ü~Ç=åç=êÉëáÇÉåí=~å~ÉëíÜÉíáëí=~í= íÜ~í= íáãÉI= ëç=f= ëäÉéí=çå=íÜÉ=íêçääÉó=åÉñí= íç=íÜÉ=é~íáÉåí= áå=íÜÉ= çéÉê~íáåÖ= íÜÉ~íêÉ= ~åÇ= ìåÑçêíìå~íÉäó= áå= íÜÉ=ãáÇÇäÉ= çÑ= íÜÉ= åáÖÜí= íÜÉ= ÅÉåíê~ä=îÉåçìë=äáåÉ=Å~ãÉ=çìí=~åÇ=ïÉ=Ü~Ç=íç=éìí=~åçíÜÉê=çåÉ=áåI=~åÇ=f=ï~ë=ïçêêáÉÇ=áå=Å~ëÉ=f=ï~ë= íÜÉ= Ñáêëí= ~å~ÉëíÜÉíáëí= íç= âáää= ~= ÜÉ~êí= íê~åëéä~åí= é~íáÉåíK= f=ï~ëåÛí= ëìêÉ=ïÜ~í=~å~ÉëíÜÉëá~= Ñçê= ÜÉ~êí= íê~åëéä~åí= é~íáÉåíë= ïÜç= Ü~Ç= Ü~Ç= íÜÉ= çéÉê~íáçå= ï~ëI= Äìí=ÉîÉåíì~ääó=ïÉ=ÇáÇ=áí=xáåëÉêíáçå=çÑ=ÅÉåíê~ä=îÉåçìë=äáåÉz=ìåÇÉê=äçÅ~äK=

^åçíÜÉê=éçáåí= áë=íÜ~í=ãó=oÉÖáëíê~êI=aê=^åå=k~óäçêI=íçäÇ=ãÉ=~ÑíÉêï~êÇë=ëÜÉ=ï~ë=îÉêó=ìéëÉí=~ÑíÉê=íÜÉ=çéÉê~íáçå=ÄÉÅ~ìëÉ=ÜÉêÉ=ëÜÉ=Ü~ÇI=~ë=áí=ïÉêÉI=~=äáîÉ=Üìã~å=ÄÉáåÖ=~åÇ=íÜÉå=íÜÉó=ëå~íÅÜÉÇ=Üáë=ÜÉ~êí=~ï~ó=~åÇ=~äíÜçìÖÜ=ÜÉ=ï~ë=~=Ççåçê=~åÇ=áí=ï~ë=~ää=ÇçåÉ= ÉíÜáÅ~ääó= ~åÇ= éêçéÉêäóI= ëÜÉ= íçäÇ= ãÉ= ~ÑíÉêï~êÇë= íÜ~í= ëÜÉ= ï~ë= îÉêó==ìéëÉí=~Äçìí=áíK=

TreasureW=qÜ~åâ=óçì=îÉêó=ãìÅÜK=kçï=íç=ãçîÉ=áåíç=~=éçëíJçéÉê~íáîÉ=éÜ~ëÉI=óçì=Ü~îÉ=Öçí=íÜáë=ÅÜ~êí=ïÜáÅÜ=óçì=çåäó=Ü~îÉ=íç=äççâ=~í=íç=êÉ~äáòÉ=íÜÉ=ä~Äçìê=áåîçäîÉÇ=áå=ãáåìíÉ= Äó=ãáåìíÉI= Üçìê= Äó= ÜçìêI= Ç~ó= Äó= Ç~óI= ÅÜ~êíáåÖ= íÜÉ= éêçÖêÉëë= çÑ= íÜáë=é~íáÉåí=~åÇ=íÜáë=çåÉ=áåÅäìÇÉë=ëçãÉ=ÅÜÉãáëíêó=~åÇ=íÜÉ=áããìåçëìééêÉëë~åí=ÇêìÖë=~åÇ= ëç=çåK= páãçå= gçëÉéÜ=ï~ë= íÜÉ= êÉëáÇÉåí= ~í= íÜÉ=eÉ~êí=eçëéáí~ä= ~í= íÜÉ= íáãÉI= ~=ãÉêÉ=Äçó=íÜÉå=åç=ÇçìÄíI=~å=pel=xpÉåáçê=eçìëÉ=lÑÑáÅÉêzK=`~å=óçì=íÉää=ìë=~Äçìí=~ää=íÜáëI=páãçåK=

Dr Simon JosephWOS= tÉää= f= Å~å= íêóK= f= ÑÉÉä= ~= ãÉêÉ= Äçó= åçï= ~Åíì~ääó= ïáíÜ= íÜÉ=~ëëÉãÄäÉÇ= Åçãé~åóI= ~äíÜçìÖÜ= f= ãìëí= ë~ó= áíÛë= îÉêó= éäÉ~ë~åí= íç= ãÉÉí= ÉîÉêóÄçÇó=~Ö~áåK=f=íÜáåâ=óçì=xaçå~äÇ=oçëëz=ä~ìåÅÜÉÇ=ãÉ=çå=ãó=Å~êÉÉêK=f=~Åíì~ääó=ëí~êíÉÇ=~í=íÜÉ= xk~íáçå~äz= eÉ~êí= eçëéáí~ä= ~í= íÜÉ= ë~ãÉ= íáãÉ= ~ë= hÉáíÜ= xoçëëzK= få= Ñ~ÅíI= f=êÉãÉãÄÉê=ï~äâáåÖ=áåíç=íÜÉ=eÉ~êí=eçëéáí~äI=råÅäÉ=qçã=ï~ë=ÅçãáåÖ=çìí=~åÇ=ÜÉ=ÜÉäÇ=íÜÉ=Çççê=çéÉå=Ñçê=ãÉK=f=ÇçåÛí=âåçï=ïÜÉíÜÉê=áí=ï~ë=Üáë=ä~ëí=Ç~óK=

TreasureW= tÉ= ëÜçìäÇ= ë~ó= íÜ~í= råÅäÉ= qçã= ï~ë= páê= qÜçã~ë= eçäãÉë= pÉääçêëI=~äï~óë=âåçïå=~ë=råÅäÉ=qçãKOT

=========================================================================================================================éçäáÅó=ïÜÉêÉÄó= íÜÉ= ëìêÖÉçå= äçëÉë=ÅÜ~êÖÉ=çÑ=ÅêáíáÅ~ääó= áää=é~íáÉåíë= íç= áåíÉåëáîáëíëK=qÜÉêÉ= áë=åçï=~å=áåíÉåëáîáëí= ïáíÜ= ~å= çìíëí~åÇáåÖ= áåíÉêå~íáçå~ä= êÉéìí~íáçå= áå= ÅÜ~êÖÉ= çÑ= íÜÉ= fåíÉåëáîÉ=`~êÉ=råáíKÛ=iÉííÉê=íç=aê=a~éÜåÉ=`ÜêáëíáÉI=NQ=kçîÉãÄÉê=NVVTK=OS= aê= páãçå= gçëÉéÜ= co`m= EÄK= NVQMF= Ü~ë= ÄÉÉå= `çåëìäí~åí= `~êÇáçäçÖáëí= ~í=j~óÇ~ó=råáîÉêëáíó=eçëéáí~äI=`êçóÇçåI=ëáåÅÉ=NVTVK=eÉ=ï~ë=oÉëáÇÉåí=pìêÖáÅ~ä=lÑÑáÅÉê=áå=íÜÉ=fqr=~ÑíÉê=íÜÉ=Ñáêëí=ÜÉ~êí=íê~åëéä~åí= áå= íÜÉ= rh= áå= NVSUK=tÉ= ~êÉ= Öê~íÉÑìä= íç= Üáã= Ñçê= ã~âáåÖ= íÜÉ= ÅÜ~êí= ~î~áä~ÄäÉ= íç= íÜÉ=táíåÉëë= pÉãáå~êI= ïÜáÅÜ= ëÜçïë= ëçãÉ= çÑ= íÜÉ= éçëíJçéÉê~íáîÉ= ÅäáåáÅ~ä= ÇÉí~áäë= ~åÇ= Ñçê= ÖáîáåÖ= ìë=éÉêãáëëáçå=íç=êÉéêçÇìÅÉ=áí=ÜÉêÉ=çå=é~ÖÉë=NQÓNRK=OT=pÉÉ=ÄáçÖê~éÜáÅ~ä=åçíÉI=çéK=ÅáíK=åçíÉ=NM=~ÄçîÉK=

=12

Early Heart Transplant Surgery in the UK

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13

Early Heart Transplant Surgery in the UK

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Early Heart Transplant Surgery in the UK

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Early Heart Transplant Surgery in the UK

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Dr Jane SomervilleWOV=açå~äÇ=xoçëëz=ë~áÇ=íç=ãÉI=f=ÇçåÛí=âåçïI=~Äçìí=äìåÅÜíáãÉ=çå=íÜ~í=Ç~óI=ÚtÜ~í=~êÉ=óçì=ÇçáåÖ=íçåáÖÜíI=g~åÉÛ=~åÇ=f=ë~áÇI=ÚtÜó=Çç=óçì=ï~åí=íç=âåçï\Û=pç=ÜÉ=ë~áÇI= Úvçì=~êÉ=ÖçáåÖ=íç=ÄÉ=íÜÉ=éÜóëáÅá~å=íç=íÜÉ=Ñáêëí=íê~åëéä~åíÛI=ëç=íÜ~íÛë=Üçï=f=Å~ãÉ=áåíç= áíK=f=~í= íÜÉ=íáãÉ=ï~ë=~=ëÉåáçê= äÉÅíìêÉê=ïáíÜçìí=Åçåëìäí~åí=ëí~íìë=~äíÜçìÖÜ=f=íÜáåâ=f=íÜçìÖÜíI=f=ëçêí=çÑ=éêÉíÉåÇÉÇI=f=Ü~Ç=áíK=f=ÇçåÛí=íÜáåâ=ïÉ=Öçí=áí=~ìíçã~íáÅ~ääó=íÜÉåK=pç=f=ÑçìåÇ=ãóëÉäÑ=éÜóëáÅá~å=íç=íÜÉ=Ñáêëí=íê~åëéä~åí=~åÇ=f=íÜáåâ=íÜáë=ï~ë=ÄÉÅ~ìëÉ=f=ëéÉåí=~=äçí=çÑ=íáãÉ=ïáíÜ=íÜÉ=Å~êÇá~Å=ëìêÖÉçåë=~í=íÜÉ=íáãÉK=tÉ=ëéÉåí=~=äçí=çÑ=íáãÉ=áå=íÜÉ~íêÉ=~åÇ=~=äçí=çÑ=íáãÉ=ïáíÜ=íÜÉãK=qÜÉêÉ=ï~ë=~=äçí=çÑ=åÉï= î~äîÉ= ïçêâ= ÅçãáåÖI= ëç= íÜÉó= ïÉêÉ= ìëÉÇ= íç= ~= åçí= îÉêó= í~ãÉ= éÜóëáÅá~åI= Äìí=~åóÜçï=~å=áåíÉêÉëíÉÇ=çåÉK=qïç=íÜáåÖë=ëíêìÅâ=ãÉ=íÜ~í=åáÖÜíK=f=íÜáåâ=f=ï~ë=áå=íÜÉ=Ö~ääÉêó=çÑ=íÜÉ=íÜÉ~íêÉI=íÜÉ=~ÄëçäìíÉ=Üçêêçê=çÑ=ëÉÉáåÖ=~=äáîÉ=é~íáÉåí=ïáíÜçìí=~=ÜÉ~êí=áå= íÜÉáê= ÅÜÉëí= ~åÇ= f= Å~å= êÉãÉãÄÉê= áí= íç= íÜáë= Ç~ó= ~åÇ= f= Ü~Ç= Éñ~Åíäó= íÜÉ= ë~ãÉ=

=================================================OV=aê=g~åÉ=pçãÉêîáääÉ=co`m=EÄK=NVPPF=ï~ë=eçåçê~êó=`çåëìäí~åí=mÜóëáÅá~å=Ñêçã=NVST=íç=NVTQ=~åÇ=`çåëìäí~åí=mÜóëáÅá~å=Ñçê=ÅçåÖÉåáí~ä=ÜÉ~êí=ÇáëÉ~ëÉë=Ñêçã=NVTQ=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~äI=ïÜáÅÜ=ä~íÉê=àçáåÉÇ=ïáíÜ=íÜÉ=_êçãéíçå=eçëéáí~ä=Ñêçã=NVVM=~ë=íÜÉ=oçó~ä=_êçãéíçå=~åÇ=k~íáçå~ä=eÉ~êí=eçëéáí~äI=ìåíáä=ÜÉê=êÉíáêÉãÉåí=áå=NVVVK=pÜÉ=Éëí~ÄäáëÜÉÇ=íÜÉ=Ñáêëí=~ÇçäÉëÅÉåí=Å~êÇá~Å=ìåáí=áå=íÜÉ= ïçêäÇ= áå= NVTR= ~åÇ= êÉÄìáäí= íÜÉ= dêçïåJìé= `çåÖÉåáí~ä= eÉ~êí= Edr`eF= råáí= ~í= íÜÉ= oçó~ä=_êçãéíçå=eçëéáí~äI=ïÜáÅÜ= áå= NVVT=ï~ë= å~ãÉÇ= íÜÉ= g~åÉ= pçãÉêîáääÉ=dr`e=råáíK= pÉÉ=lÜ=tI=eáÅâã~å=oI=bã~åìÉä=oI=jÅaçå~äÇ=iI=pçãÉêîáääÉ=gI=oçëë=aI=oçëë=hI=dçåòÉäÉòJi~îáå=iK=ENVTPF=eÉ~êí=î~äîÉ=ëìêÖÉêó=áå=NNQ=é~íáÉåíë=çîÉê=íÜÉ=~ÖÉ=çÑ=SMK=_êáíáëÜ=eÉ~êí=gçìêå~ä=PRW=NTQÓNUMK==

=16

Early Heart Transplant Surgery in the UK

ÑÉÉäáåÖI=ÄÉÅ~ìëÉ=f=ï~ë=çå=íÜÉ=Ççåçê=êÉãçî~ä=çÑ=íÜÉ=ÜÉ~êí=~í=dìóÛëKPM=fíÛë=íêìÉI=~åÇ=f=Ü~Ç=íÜÉ=ë~ãÉ=ÑÉÉäáåÖI= áí=ï~ë=~äãçëí=~=êÉîìäëáçåK=pç=Ü~îáåÖ=Öçí=çîÉê=íÜ~í=~åÇ=íÜÉ=àçó=çÑ=íÜÉ=ÄÉ~íáåÖ=ÜÉ~êíI=~åÇ=ïÉ=ïÉêÉ=êÉ~ääó=îÉêó=Éä~íÉÇ=ä~íÉ=áåíç=íÜÉ=åáÖÜíI=~åÇ=íÜÉ=eçìëÉ=dçîÉêåçêI=jê= xo=gz=aÉååÉóI= ëí~óÉÇ=çå=ïáíÜ=ìëI= f= íÜáåâ=ÜÉ=ÇáÇåÛí=âåçï=ïÜ~í=ï~ë=ÖçáåÖ= íç=Ü~ééÉå=åÉñíI=Äìí=ïÜáäÉ=~ää= íÜáë=ï~ë=ÖçáåÖ=çåI=~åÇ=ïÉ=ÇáÇåÛí=âåçï=ïÜ~í=ï~ë= ÖçáåÖ=çå=çìíëáÇÉI= íÜÉêÉ=ï~ë= ~ÅÅìãìä~íáåÖ=çìíëáÇÉ= íÜÉ=k~íáçå~ä=eÉ~êí= eçëéáí~äI= ïÜáÅÜ= áë= áå= ~= äáííäÉ= å~êêçï= ëíêÉÉí= ~ë= óçì= âåçïI= íÜáë= ã~ëëáîÉ=~ãçìåí= çÑ= ãÉÇá~I= ëçãÉíÜáåÖ= íÜ~í= ïÉ= Ü~Ç= åÉîÉê= ÉåÅçìåíÉêÉÇ= áå= çìê= äáîÉëK=jê=aÉååÉó=ë~áÇ=íç=ìëI=Úf=íÜáåâ=óçìÛÇ=ÄÉííÉê=ÅçãÉ=çìíëáÇÉ=~åÇ=ëéÉ~â=íç=íÜÉ=éêÉëëÛ=~åÇ=f=ÇçåÛí=âåçï=ïÜ~í=íáãÉ=áí=ï~ëI=açå~äÇ=xiçåÖãçêÉz=ïáää=âåçïI=Äìí=ïÉ=ïÉåí=çìí=~åÇ=íÜÉêÉ=ïÉêÉ=~êÅ=äáÖÜíëI=ëç=óçì=ÅçìäÇåÛí=èìáíÉ=ëÉÉ=Üçï=ã~åó=éÉçéäÉ=ïÉêÉ=íÜÉêÉI=~åÇ= íÜÉ= ïÜçäÉ= íÜáåÖ= äççâÉÇ= äáâÉ= ~= êçó~ä= ïÉÇÇáåÖ= ÄÉáåÖ= ï~íÅÜÉÇI= áí= ï~ë=ìåÄÉäáÉî~ÄäÉ= ïÜÉå= óçì= ë~ï= íÜÉ= ã~ëëÉë= íÜÉêÉI= ~åÇ= ïÉ= ÑçìåÇ= çìêëÉäîÉë= çå= äáîÉ=íÉäÉîáëáçåKPN= fí= ï~ë= èìáíÉ= íÉêêáÑóáåÖ= ~åÇ= Ñêçã= íÜÉå= çåI= Ñçê= íÜÉ= åÉñí= ëáñ= çê= ëÉîÉå=ïÉÉâëI=ïÉ=Ü~Ç=~=êçííÉå=íáãÉ=ïáíÜ=íÜÉ=éêÉëë=çåÉ=ï~ó=~åÇ=~åçíÜÉêI=é~êí=çÑ=áí=ÄÉáåÖ=íÜ~í=ïÉ=ÇáÇåÛí=âåçï=Üçï=íç=ÅçéÉ=ïáíÜ=íÜÉãK=

_~Åâ= íç= íÜÉ=ãÉÇáÅáåÉK=páãçå=xgçëÉéÜz=Ü~ë=ÖáîÉå=óçì=~=îÉêó=ÖççÇ=~ééê~áë~äI=Äìí=çåÉ= çÑ= íÜÉ= íÜáåÖë= f= êÉãÉãÄÉê= ~Äçìí= íÜáë= éÉêáçÇ= áë= íÜ~í= ïÉ= ìëÉÇ= íç= Ü~îÉ= íÜÉëÉ=ÜçìêJäçåÖ=ÅçåÑÉêÉåÅÉëI=çê= äçåÖÉêI= íïáÅÉ=~=Ç~óI= áåíÉêëéÉêëÉÇ=ïáíÜ=~= äçí=çÑ= êáåÖáåÖ=ìé= çÑ=`Üêáë=_~êå~êÇI=ïÜáÅÜ=ï~ë= ~äï~óë= ÑìåI= ~åÇ= óçì= âåçï=ÜÉ=ïçìäÇ= ë~óI= Údç=ïáíÜ=áíI=ÄçóÛ=~åÇ=ÖáîÉ=ìë=~=äçí=çÑ=çÇÇ=~ÇîáÅÉI=~åÇ=ïÉ=ïÉêÉ=äççâáåÖ=Ñçê=ÖäçÄìäáå=~åÇ=~ää= ëçêíë= çÑ= íÜáåÖëI= Äìí= ÅÉêí~áåäó= íÜÉ= ÉéáëçÇÉë= íÜ~í= páãçå= ãÉåíáçåë= ïÉêÉ= îÉêó=Ççãáå~åíK= fë= g~ãÉë=jçïÄê~ó=ÜÉêÉ\= xTreasureW=kçK=^éçäçÖáÉëI=ÜÉ=Ü~Ç= íç=Öç= íç=`~å~Ç~Kz=g~ãÉë=jçïÄê~óPO=äáâÉÇ=í~äâáåÖ=~Äçìí=ÉîÉêóíÜáåÖ=~åÇ=áå=ÖêÉ~í=ÇÉí~áä=~åÇ=ÜÉ=âåÉï=ãìÅÜ=ãçêÉ=~Äçìí=ÅäáåáÅ~ä=áããìåçäçÖó=íÜ~å=~åó=çÑ=ìë=ìåÇÉêëíççÇI=~åÇ=ÜÉ= ï~ë= êÉëéçåëáÄäÉ= Ñçê= íÜÉëÉ= ÜìÖÉäó= äçåÖ= ÅçåÑÉêÉåÅÉë= íÜ~í= ïÉåí= çåK= ^åóï~óI=ÉîÉêóÄçÇó=ï~ë= áåíÉêÉëíÉÇ= áå= ëìééêÉëëáåÖ= íÜÉ= é~íáÉåíÛë= áããìåÉ= êÉëéçåëÉI= Äìí= áå=~Åíì~ä=Ñ~Åí=áí=ï~ë=èìáíÉ=çÄîáçìë=íÜáë=ÅÜ~é=ï~ë=íÜêçïáåÖ=çÑÑ=éìäãçå~êó=ÉãÄçäáI=~åÇ=ÖáîÉå=~åóíÜáåÖ=Äìí=~=íê~åëéä~åíI=ïÉ=ÅçìäÇ=Ü~îÉ=ã~ÇÉ=íÜÉ=Çá~Öåçëáë=~åÇ=áåÇÉÉÇ=ïÉ=ÇáÇ= éêÉëë= íç= Ü~îÉ= Üáã= çå= ÜÉ~îó= ÜÉé~êáå= ÇçëÉëK= f= íÜáåâ= Å~êÇáçäçÖáÅ~ääó= ~åÇ=

=================================================PM=qÜÉ=íÜáêÇ=íê~åëéä~åí=ï~ë=éÉêÑçêãÉÇ=~í=dìóÛë=eçëéáí~ä=çå=NS=j~ó=NVSVK=PN=bñéêÉëë= pí~ÑÑ=oÉéçêíÉêëK= ENVSUF=eÉ~êí=qê~åëéä~åí=Ó=qÜÉ=_êáíáëÜ=qÉ~ãK=a~áäó=bñéêÉëë= EQ=j~ó=NVSUFK=qÜÉ=íÉ~ã=çÑ=NU=Å~ãÉ=íç=ëí~åÇ=çå=íÜÉ=ëíÉéë=çÑ= íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~äI=içåÇçåI=~í=OOKNM=çå=cêáÇ~óI=P=j~ó=NVSUI=ÑçääçïáåÖ=íÜÉ=çéÉê~íáçåI=ïÜáÅÜ=ÉåÇÉÇ=~í=ONKPMK=PO=mêçÑÉëëçê=g~ãÉë=c=jçïÄê~ó=co`m=EÄK=NVPMF=ï~ë=mêçÑÉëëçê=çÑ=fããìåçé~íÜçäçÖó=~í=pí=j~êóÛë=eçëéáí~ä= jÉÇáÅ~ä= pÅÜççä= Ñêçã= NVTQ= íç= NVVRI= åçï= bãÉêáíìëK= eÉ= ï~ë= ìå~ÄäÉ= íç= ~ííÉåÇ= íÜÉ=táíåÉëë=pÉãáå~êK=pÉÉ=mäÉíâ~=mI=hÉåóçå=g=oI=påÉää=jI=`çÜÉå=p=iI=lïÉå=hI=jçïÄê~ó=g=cI=eìäãÉ=_I=qÜçãéëçå=^=bI=mçêíÉê=h=^I=iÉáÖÜ=a=^I=mÉ~êí=t=pK=ENVSVF=`~Ç~îÉêáÅ=êÉå~ä=íê~åëéä~åí~íáçåW=^å=~å~äóëáë=çÑ=SR=Å~ëÉëK=i~åÅÉí=áW=NÓRK=lÛ`çååÉää=q=uI=dçåò~äÉòJi~îáå=iI=jáäíçå=g=aI=jçïÄê~ó=g=cK= ENVTQF= fãéêçîÉÇ= ëìêîáî~ä= çÑ= Å~åáåÉ= ÜÉíÉêçíçéáÅ= Å~êÇá~Å= íê~åëéä~åíë= ïáíÜçìí=áããìåçëìééêÉëëáçåK==gçìêå~ä=çÑ=qÜçê~ÅáÅ=~åÇ=`~êÇáçî~ëÅìä~ê=pìêÖÉêó=STW=QRVÓQSRK=

17

Early Heart Transplant Surgery in the UK

ãÉÇáÅ~ääó= óçì= ÅçìäÇ= ëÉÉ= íÜáë=ï~ë=ïÜ~í=ï~ë= Ü~ééÉåáåÖI= Äìí= çåÉ= Öçí= ÅçãéäÉíÉäó=Çáëíê~ÅíÉÇ=Äó=íÜÉ=Ñ~Åí=íÜ~í=íÜáë=ï~ë=~=íê~åëéä~åíKPP

TreasureW= tÜÉêÉ= f= ïçìäÇ= äáâÉ= íç= ãçîÉ= íç= åçï= áë= íÜ~í= îÉêó= ëççå= ~ÑíÉê= íÜáë==íÜÉ= ëÉÅçåÇ= íê~åëéä~åí=ï~ë= ÇçåÉ= ~í=dìóÛëK=açå~äÇ=oçëë=ï~ë= ~Ö~áå= íÜÉ= ëìêÖÉçåK=qÜÉ= í~ëâ= íÜ~í= ï~ë= éÉêÑçêãÉÇ= ~í= íÜÉ= Ñáêëí= íê~åëéä~åí= Äó= páãçå= gçëÉéÜI= ï~ë==ìåÇÉêí~âÉå= Äó= Üáë= àìåáçê= ëí~ÑÑK= qçåó= aóÇÉ= ~åÇ= _~êêó= oçëë= ïÉêÉ= íÜÉ= íïç= f==âåçï= ïÉêÉ= áåîçäîÉÇK= qçåó= aóÇÉ= ëÉåÇë= Üáë= ~éçäçÖáÉëKPQ= _~êêó= oçëëI= ïÜ~í= ~êÉ==óçìê=êÉÅçääÉÅíáçåë\=

Donald RossW=qÜ~í=ï~ë=íÜÉ=íÜáêÇ=íê~åëéä~åíKPR

Mr Barry RossWPS=lÑ= ÅçìêëÉI= Éä= ëìéêÉãç= xaçå~äÇ=oçëëz= áë= êáÖÜíI=dìóÛë= ï~ë= íÜÉ=íÜáêÇ= íê~åëéä~åíK=`~å= f= àìëí= éìí= íÜáë= áå= éÉêëéÉÅíáîÉK= f= Ñáêëí=ãÉí=^ä~å=dáäëíçå= áå=féëïáÅÜ= áå= NVSP= ïÜÉå= ÜÉ= ï~ë= ÇçáåÖ= ~= äçÅìã= ~åÇ= f= ï~ë= oÉÖáëíê~ê= íç= ~= äçîÉäó=ëìêÖÉçå=Äìí=ÜÉ=ï~ë=ê~íÜÉê=ëäçï=~åÇ=ïÜÉå=^ä~å=ï~ë=~ëâÉÇ=ïÜ~í=íáãÉ=íÜÉ=äáëí=ï~ë=ÖçáåÖ= íç= ÑáåáëÜ=ÜÉ= ë~áÇI= Ú_ìÖÖÉê= íÜÉ= íáãÉI= f=~ã=ïçêêáÉÇ=~Äçìí= íÜÉ=Ç~íÉ>Û= f= íÜáåâ=~Ö~áåI=íç=éìí=íÜáë=áå=éÉêëéÉÅíáîÉI=f=ÇçåÛí=âåçï=áÑ=~åó=çÑ=óçì=Ü~îÉ=ëÉÉå=íÜÉ=Ñáäã=çÑ=Üçï=íç=Çç=~=Äêáääá~åí=éêçëí~íÉÅíçãó=Ó=óçì=ëÉÉ=íÜáë=éÉêÑÉÅí=çéÉê~íáçå=ïáíÜ=åç=ÄäççÇ=~åÇ= íÜÉ= Å~íÜÉíÉê= áë= éìí= áåíç= íÜÉ= Ää~ÇÇÉê= ~ÑíÉêï~êÇë= ~åÇ= ï~ëÜÉÇ= çìí= ~åÇ= íÜáë=ÄÉ~ìíáÑìä= ÅäÉ~ê=ìêáåÉ= ÅçãÉë=çìí= ~åÇ= íÜÉå= íÜÉó= ëíçé= íÜÉ= Ñáäã=~åÇ= ë~óI= Ú^åÇ=åçï=ïÉÛää=ëÜçï=óçì=ïÜ~í=êÉ~ääó=Ü~ééÉåÉÇÛ=~åÇI=çÑ=ÅçìêëÉI=áíÛë=~=ëÜ~ãÄäÉëI=íÜÉêÉÛë=ÄäççÇ=~ää=çîÉê=íÜÉ=éä~ÅÉI=Åäçí=êÉíÉåíáçå=~åÇ=áí=êÉ~ääó=áë=~åóíÜáåÖ=Äìí=~=éÉêÑÉÅí=çéÉê~íáçåK=f=ï~ë= áåîçäîÉÇ= áå= íÜÉ= Ñáêëí= äìåÖ= íê~åëéä~åí= íÜ~í=ïÉ=ÇáÇ=~í=dìóÛëI=ïÜáÅÜ= f= íÜáåâ= áë=áåíÉêÉëíáåÖ=Ó=íç=éìí=íÜáë=áåíç=éÉêëéÉÅíáîÉ=Ó=ÄÉÅ~ìëÉ=íÜáë=ï~ë=É~êäáÉê=áå=íÜÉ=ëìããÉê=çÑ=NVSVI=ïÜÉå=ïÉ=ÇáÇ=~= ëáåÖäÉ= äìåÖ= íê~åëéä~åíI=éêçÄ~Ääó=~ë=páãçå=xgçëÉéÜz=Ü~ë=ë~áÇI=óçì=ïçìäÇåÛí=ÄÉ=~ÄäÉ=íç=Çç=íÜÉëÉ=íÜáåÖë=åçï=ïáíÜçìí=ÉíÜáÅ~ä=éÉêãáëëáçåI=Äìí=f=íÜáåâ=ïÉ=Ü~Ç=~=é~íáÉåí=áå=ÉåÇJëí~ÖÉ=ÉãéÜóëÉã~=~åÇ=áí=ï~ë=ê~íÜÉê=~=ÖççÇ=íÜáåÖ=íç= Çç= ~= äìåÖ= íê~åëéä~åíK=tÉ= Ü~Ç= ~= Ççåçê= ~åÇ=ïÉ= éçééÉÇ= áå= ~= ëáåÖäÉ= äìåÖ= çåÉ=ÉîÉåáåÖI=~åÇ=íÜáë=ï~ë=íÜÉ=ãçëí=~ã~òáåÖ=ÅçåÅÉéí=çÑ=ëçãÉÄçÇó=ïáíÜ=~=íê~åëéä~åíÉÇ==

=================================================PP=jê=cêÉÇÉêáÅâ=tÉëíI=~ÖÉÇ=QRI=ÇáÉÇ=çå=NT=gìåÉ=NVSUI=QR=Ç~óë=~ÑíÉê=íÜÉ=Å~êÇá~Å=~ääçÖê~ÑíK=PQ= jê= qçåó= aóÇÉ= co`p= EÄK= NVPRF= ï~ë= `çåëìäí~åí= `~êÇá~Å= pìêÖÉçå= ~í= íÜÉ= tÉëí= jáÇä~åÇë=oÉÖáçå~ä=`~êÇáçíÜçê~ÅáÅ=råáíI=t~äëÖê~îÉ=eçëéáí~äI=áå=`çîÉåíêó=Ñêçã=NVTO=íç=NVVTI=åçï=êÉíáêÉÇK=jê=aóÇÉ=ïêçíÉW=Úpíê~åÖÉ=~ë=áí=ã~ó=ëÉÉãI=ãó=åçíÉë=~åÇ=ëäáÇÉë=ïÉêÉ=ÅçåÑáëÅ~íÉÇ=~í=h~ê~ÅÜá=~áêéçêí=~åÇ=åÉîÉê=êÉíìêåÉÇ=íç=ãÉKÛ=iÉííÉê=íç=mêçÑÉëëçê=qçã=qêÉ~ëìêÉI=NN=kçîÉãÄÉê=NVVSK=PR=qÜÉ=ëÉÅçåÇ=íê~åëéä~åí=ï~ë=éÉêÑçêãÉÇ=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä=Äó=íÜÉ=ë~ãÉ=íÉ~ã=çå=OS=gìäó=NVSUK=qÜÉ=êÉÅáéáÉåí=ï~ë=jê=dçêÇçå=cçêÇÉI=QUI=~åÇ=íÜÉ=Ççåçê=ï~ë=jê=aÉêÉâ=_áêâÄÉÅâI=POI=ïÜç=ÇáÉÇ=áå=~=Å~ê=~ÅÅáÇÉåíK=PS= jê= _~êêó= oçëë= co`p= EÄK= NVPQF= ï~ë= `çåëìäí~åí= qÜçê~ÅáÅ= pìêÖÉçå= ïáíÜ= íÜÉ= b~ëí= ^åÖäá~å=oÉÖáçå~ä=eÉ~äíÜ=^ìíÜçêáíóI=åçï=êÉíáêÉÇK=eÉ=ï~ë=pÉåáçê=oÉÖáëíê~ê= áå=qÜçê~ÅáÅ=pìêÖÉêó=~í=dìóÛë=eçëéáí~ä=Ñêçã=NVST=íç=NVTMK=

=18

Early Heart Transplant Surgery in the UK

äìåÖI=ïáíÜ=Öêçëë=ÉãéÜóëÉã~= áå= íÜÉ=çíÜÉê= äìåÖ=~åÇ=ïÉ=ÉåÇÉÇ=ìé=ïáíÜ=êÉàÉÅíáçåI=~åÇ= íÜÉ= íóéáÅ~ä= åçåJÅçãéäá~åÅÉ= çÑ= íÜÉ= íê~åëéä~åíÉÇ= äìåÖ= ïÜáÅÜ= ï~ë= êÉàÉÅíáåÖK=råÑçêíìå~íÉäó= f= ÇçåÛí= Ü~îÉ= íÜÉ= ëäáÇÉI= f= ïçìäÇ= äçîÉ= íç= ëÜçï= áí= íç= óçìI= çÑ= íÜáë=é~íáÉåí= àìëí= ÄÉÑçêÉ=ÜÉ=ÇáÉÇI=ÄÉáåÖ=îÉåíáä~íÉÇ= íÜêçìÖÜ=~=ÇçìÄäÉ= äìãÉå= íìÄÉI= íïç=îÉåíáä~íçêë= îÉåíáä~íáåÖ= ~ëóåÅÜêçåçìëäó= É~ÅÜ= äìåÖI= çåÉ= éêÉëëìêÉJÅóÅäÉÇI= íÜÉ= çíÜÉê=îçäìãÉJÅóÅäÉÇI= áå= çêÇÉê= íç= íêó= ~åÇ= çîÉêÅçãÉ= íÜáë= ÇÉëéÉê~íÉ= éêçÄäÉãK=tÉääI= íÜáë=ÅÜ~é= ëìêîáîÉÇ=~=ïÉÉâI=~åÇ= íÜÉå=~= ÑÉï=ïÉÉâë= ä~íÉêI= áå=j~ó=NVSV=ïÉ=ÇáÇ=~=ÜÉ~êí=íê~åëéä~åí=~í=dìóÛëK=

cçêíìå~íÉäóI= f= ï~ë= çå= ÜçäáÇ~ó= ïÜÉå= áí= ï~ë= ÇçåÉK= a~îáÇ= `~êåÉÖáÉPT= ï~ë= íÜÉ=~å~ÉëíÜÉíáëí=~í=íÜÉ=dìóÛë=íê~åëéä~åíI=~åÇ=ÜÉ=íÉääë=ãÉ=íÜ~í=áí=ï~ë=ÇçåÉ=çå=~=cêáÇ~ó=åáÖÜí=~åÇ=f=êÉíìêåÉÇ=Ñêçã=ÜçäáÇ~ó=çå=pìåÇ~ó=ïÜÉå=íÜÉ=Çê~ã~=ï~ë=~ää=çîÉêI=Äìí=Ü~îáåÖ= íç=éáÅâ=ìé= íÜÉ=éáÉÅÉëI= ê~íÜÉê=~ë=páãçå=xgçëÉéÜz=ÇáÇI=~ë= íÜÉ= àìåáçê=ÄçóK= f=Ü~îÉ=ä~ëíáåÖ=êÉÅçääÉÅíáçåë=çÑ=íÜÉ=ÑçääçïáåÖ=íÜêÉÉ=ãçåíÜëI=ïÜáÅÜ=ï~ë=éêçÄ~Ääó=íÜÉ=Ü~êÇÉëí=ïçêâ=íÜ~í=f=Ü~îÉ=ÉîÉê=ÇçåÉI=ÄÉÑçêÉ=çê=ëáåÅÉI=çÑ=äççâáåÖ=~ÑíÉê=íÜáë=é~íáÉåíK=^åÇ=f=íÜáåâ=íÜÉ=Ñáêëí=çÑ=íÜÉ=íÜêÉÉ=êÉÅçääÉÅíáçåë=íÜ~í=f=ïáää=ëÜ~êÉ=ïáíÜ=óçì=àìëí=Ñçê=íÜÉ=ãçãÉåí=áë=íÜ~í=f=ÑçìåÇ=íÜ~í=óçì=Å~å=åÉîÉê=ã~å~ÖÉ=~=é~íáÉåí=Äó=ÅçããáííÉÉK=tÉ=Ü~Ç=~=îÉêó= ëíêçåÖ= íÉ~ã=~í=dìóÛë=çÑ=j~ìêáÅÉ=iÉëëçÑI=ïÜçã=f=ëÉÉ=çîÉê= íÜÉêÉI=aáÅâ=_~íÅÜÉäçê=äççâáåÖ=~ÑíÉê=áããìåçäçÖóI=~åÇ=aÉååáë=aÉìÅÜ~ê=çìê=Å~êÇáçäçÖáëíI=~åÇ= íÜÉó= ïçìäÇ= ã~âÉ= îÉêó= ëçìåÇ= ~åÇ= ïáëÉ= éêçåçìåÅÉãÉåíëI= ~åÇ= íÜÉå= ~Äçìí=NSKMM=íÜÉ=k~íáçå~ä=eÉ~êí=íÉ~ã=ïçìäÇ=ëï~å=áåI=áå=íÜÉ=Ñçêã=çÑ=g~åÉ=xpçãÉêîáääÉzI=g~ãÉë= jçïÄê~ó= ~åÇ= ~= ÅçìéäÉ= çÑ= çíÜÉêëI= ~åÇ= éêçÇìÅÉ= Çá~ãÉíêáÅ~ääó= çééçëáíÉ=îáÉïëI=~åÇ=íÜáë=ÄÉÅ~ãÉ=ÉñíêÉãÉäó=ÇáÑÑáÅìäí=~åÇ=ïÉ=~Åíì~ääó=Ü~Ç=íç=áåëíáíìíÉ=~=Äççâ=ïÜáÅÜI=f=ÇçåÛí=âåçï=ïÜ~íÛë=Ü~ééÉåÉÇ=íç=íÜáë=ÄççâI=Äìí=áí=ïçìäÇ=ÄÉ=îÉêó=î~äì~ÄäÉ=êÉ~ÇáåÖ=åçïK=qçåó=aóÇÉI=ïÜç=ÄçêÉ=íÜÉ=Äêìåí=çÑ=íÜáëI=áåëáëíÉÇ=íÜ~í=~åóÄçÇó=ïÜç=~ííÉåÇÉÇ= íÜÉ= é~íáÉåí= êÉÅçêÇÉÇ= íÜÉáê= íÜçìÖÜíë= ~åÇ= íÜÉáê= ÇáÅí~íëI= ëç= íÜ~í= ïÜÉå=açå~äÇ= xoçëëz= Å~ãÉ= áåI= ~åÇ= ïçìäÇ= íÜÉå= ë~óI= ÚtÜ~í= íÜÉ= ÄäççÇó= ÜÉää= Ü~îÉ= óçì=ÇçåÉ= íÜáë= Ñçê\Û= ïÉ= ÅçìäÇ= ë~óI= ÚtÉää= g~åÉ= pçãÉêîáääÉ= íçäÇ= ìë= íç= Çç= áíI= ÜÉêÉÛë= ÜÉê=ëáÖå~íìêÉ=çîÉê=íÜáë=çêÇÉêÛI=~åÇ=áí=êÉ~ääó=ÇáÇ=ÄÉÅçãÉ=ÉñíêÉãÉäó=ÇáÑÑáÅìäíK=qÜÉ=ëÉÅçåÇ=ä~ëíáåÖ=ãÉãçêó=íÜ~í=f=Ü~îÉ=áë=çÑ=íÜÉ=ÇçåçêÛë=êÉä~íáîÉI=~åÇ=f=íÜáåâ=áí=ï~ë=ÜÉê=Ñ~íÜÉêI=ïÜç=áåëáëíÉÇ=çå=ëÉÉáåÖ=íÜÉ=ÉãÄçÇáãÉåí=çÑ=Üáë=Ç~ìÖÜíÉê=áå=íÜáë=ÅÜ~é=eÉåÇêáÅâIPU=~åÇ=ÜÉ=ã~ÇÉ=~= íêÉãÉåÇçìë= ëÅÉåÉ=~åÇ=ï~ëI=ÉîÉåíì~ääóI=~ÑíÉê=~=ÄáÖ= ÑáÖÜíI=ìëÜÉêÉÇ==================================================PT=aê=a~îáÇ=`~êåÉÖáÉ=EÄK=NVNTF=áë=`çåëìäí~åí=^å~ÉëíÜÉíáëí=bãÉêáíìë=~í=dìóÛë=eçëéáí~äI=içåÇçåK=eÉ=ëí~êíÉÇ=Å~êÇá~Å=~å~ÉëíÜÉëá~=ïáíÜ=oìëëÉää=Eä~íÉê=içêÇF=_êçÅâ=~åÇ=ÇáÇ=Üáë=Ñáêëí=ãáíê~ä=î~äîçíçãáÉë=áå=NVQUI=~åÇ=ÅçåíáåìÉÇ=~í=dìóÛë=eçëéáí~ä=ïáíÜ=açå~äÇ=oçëë=~åÇ=^ä~å=v~íÉë=ìåíáä=NVUMK==PU=jê=`Ü~êäÉë=eÉåÇêáÅâI=RVI=ï~ë= íÜÉ= êÉÅáéáÉåí=çÑ= ~=ÜÉ~êí= íê~åëéä~åíÉÇ=~í=dìóÛë=eçëéáí~ä=çå=NS=j~ó=NVSVK=^åçåK=ENVSVF=eÉåÇêáÅâ=Ü~ë=ÑìåÖìë=áåÑÉÅíáçåK=a~áäó=qÉäÉÖê~éÜ=ENV=^ìÖìëí=NVSVFK=jê=qçåó= aóÇÉ= ïêçíÉW= ÚeÉ= xeÉåÇêáÅâz= ï~ë= ~= ÜóéÉêíÉåëáîÉ= ïáíÜ= ~= Ñ~áäÉÇ= is= xäÉÑí= îÉåíêáÅäÉz= ïÜç=êÉÅÉáîÉÇ= íÜÉ= ëã~ää= ÜÉ~êí= çÑ= ~= óçìåÖ= ÖáêäK= f= ÇáëíáåÅíäó= êÉãÉãÄÉê= íÜ~í= Ñçê=ãçëí= çÑ= Üáë= ÑÉï=ïÉÉâëÛ=ëìêîáî~ä=ÜÉ=ï~ë=ïÉää=éÉêÑìëÉÇ=ïáíÜ=~=_m=xÄäççÇ=éêÉëëìêÉz=ÄÉäçï=NMMI=ïÜáÅÜ=f=íÜçìÖÜí=ï~ë=ê~íÜÉê=çÇÇKKKKf= êÉãÉãÄÉê= ÄÉáåÖ= îÉêó= áãéêÉëëÉÇ= ïáíÜ= íÜÉ= éçïÉê= çÑ= ëíÉêçáÇëI= ÄÉÅ~ìëÉ= ~í= Üáë= mj= xéçëí=ãçêíÉãz=åçíÜáåÖ=Ü~Ç=ÜÉ~äÉÇK=qÜÉ=ëìíìêÉ=äáåÉë=ïÉêÉ=Éñ~Åíäó=~ë=íÜÉó=ïÉêÉ=ïÜÉå=ÜÉ=äÉÑí=íÜÉ=íÜÉ~íêÉKÛ=iÉííÉê=íç=mêçÑÉëëçê=qçã=qêÉ~ëìêÉI=NN=kçîÉãÄÉê=NVVSK=

19

Early Heart Transplant Surgery in the UK

áåíç=íÜÉ=êççãI=íç=îáÉï=íÜáë=éççê=é~íáÉåí=áå=ïÜçëÉ=ÄçÇó=Üáë=Ç~ìÖÜíÉêÛë=ÜÉ~êí=ä~óK=kçï= íÜáë= ï~ë= ~= éêÉííó= Éãçíáçå~ä= íáãÉK= f= ÇçåÛí= âåçï= áÑ= óçì= êÉãÉãÄÉê= íÜ~íI=açå~äÇ= xoçëëz\=qÜÉ= íÜáêÇ= íÜáåÖ= íÜ~í= ëíáÅâë= áå=ãó=ãáåÇ= áë= íÜ~í=ïÉ=åÉÉÇÉÇ=moK=bîÉêóçåÉ=Ü~ë=í~äâÉÇ=~Äçìí=íÜÉ=ã~å~ÖÉãÉåí=çÑ=íÜÉ=éêÉëëI=~åÇ=~=ÑÉääçï=ïÜç=Å~ãÉ=ÜçíJÑççí=Ñêçã=íÜÉ=_^im^=x_êáíáëÜ=^áê=iáåÉ=máäçíëÛ=^ëëçÅá~íáçåz=ÇáëéìíÉ=ïáíÜ=íÜÉ=dçîÉêåãÉåí= çîÉê= íÜÉ= ~áêäáåÉ= éáäçíëÛ= é~ó= ~åÇ= jê= kçêã~å= qÉÄÄáí= Eåçï= içêÇ=qÉÄÄáíFI=ï~ë=~=ÅÜ~é=Å~ääÉÇ=gçÜå=dçêëíKPV=kçï=ïÜÉíÜÉê=ÜÉ=çÑÑÉêÉÇ=Üáë=ëÉêîáÅÉë=íç=ìë=çê=ïÜÉíÜÉê=açå~äÇ=ÜáêÉÇ=ÜáãI=f=Å~åÛí=~Åíì~ääó=êÉãÉãÄÉêI=Äìí=ÜÉ=íççâ=çå=íÜÉ=moK=f=Ü~îÉ=~=ïçêÇ=Ñçê=ÜáãI=ïÜáÅÜ=~Åíì~ääó=ÄÉÖáåë=ïáíÜ=mo=~åÇ=ÉåÇë=áå=`hI=Äìí=ÜÉ=ï~ë=~Åíì~ääó=~=é~áå=áå=íÜÉ=åÉÅâI=Äìí=áí=ï~ë=~=îÉêóI=îÉêó=ÇáÑÑáÅìäí=íÜêÉÉ=ãçåíÜëI=ÅÉêí~áåäó=Ñçê= ~=ãÉãÄÉê= çÑ= íÜÉ= àìåáçê= ëí~ÑÑK=tÉ=Ü~îÉåÛíI= ~ë= Ñ~ê= ~ë= f= âåçïI= Öçí= ~åó= çÑ= íÜÉ=ëÅáÉåíáÑáÅ=Ç~í~=ÜÉêÉI= Äìí= ~ää= f= Å~å= ë~ó= áë= íÜ~í= ~í= íÜ~í= íáãÉ=ïáíÜçìí= íÜÉ=pÜìãï~ó=êÉÖáãÉ= ~åÇ= íÜÉ= ëçêí= çÑ= íÜáåÖë= íÜ~í= qÉêÉåÅÉ= båÖäáëÜ= ïáää= Ü~îÉ= áåíêçÇìÅÉÇ= ä~íÉêI=ïÜáÅÜ=ïçìäÇ=Ü~îÉ=ã~ÇÉ=íÜÉ=ã~å~ÖÉãÉåí=çÑ=~=íê~åëéä~åí=é~íáÉåí=ëç=ãìÅÜ=É~ëáÉêI=ïÉ= êÉ~ääó= ïÉêÉ= íÜê~ëÜáåÖ= ~Äçìí= áå= íÜÉ= Ç~êâK= eÉåÇêáÅâ= äáîÉÇ= Ñçê= ~Äçìí= íÜêÉÉ=ãçåíÜëK=^ä~å=v~íÉë=ï~ë=ëçêí=çÑ=ÅççêÇáå~íáåÖ=íÜÉ=ëìêÖáÅ~ä=ÉäÉãÉåí=~åÇ=ï~ë=~=îÉêó=ïáëÉ= ÅçìåëÉä= Ñêçã= íÜÉ=dìóÛë= éçáåí= çÑ= îáÉï= ~åÇ= ^ä~å= ~åÇ= f= ïÉêÉ= áå= ~í= íÜÉ= ä~ëí=Å~êÇá~Å=ã~ëë~ÖÉ=àìëí=ÄÉÑçêÉ=ÜÉ=ÇáÉÇK=pç=ÜÉ=ÇáÉÇI=f=íÜáåâI=áå=íÜÉ=pÉéíÉãÄÉê=çÑ=íÜ~í=óÉ~êK=

TreasureW=qÜ~åâ=óçì=îÉêó=ãìÅÜK=f=ÇçåÛí=ï~åí=íç=ÑçêÖÉí=íÜÉ=~å~ÉëíÜÉíáëíëI=ÄÉÅ~ìëÉ=ïÉ= Ü~îÉ= Öçí= ëçãÉ= âÉó= ~å~ÉëíÜÉíáëíë= ÜÉêÉI= Äìí= Ñáêëí= çå= íÜÉ=ãÉÇáÅ~ä= ëìééçêí= ëáÇÉ==aê= bìåáÅÉ= içÅâÉó= ï~ë= ~í= íÜÉ= k~íáçå~ä= eÉ~êí= eçëéáí~ä= ~åÇ= f= ~ã= Öä~Ç= íç= ëÉÉ==ÜÉêÉ= mêçÑÉëëçê= iÉëëçÑK= tçìäÇ= ÉáíÜÉê= çÑ= óçì= äáâÉ= íç= íÉää= ìë= óçìê= ãÉãçêáÉë= çÑ==íÜÉëÉ=~ëéÉÅíëK=

Professor Maurice LessofWQM=jó=ã~áå=áãéêÉëëáçå=ï~ë=Üçï=Ñ~ê=~ÜÉ~Ç=íÜÉ=ëìêÖÉçåë=ïÉêÉI= Åçãé~êÉÇ=ïáíÜ= íÜÉ= áããìåçäçÖáëíëK= fí=ï~ë=ÉãÄ~êê~ëëáåÖ= íÜ~íI= Ñçê= áåëí~åÅÉI=ïÜÉå=açå~äÇ= xoçëëz= éáçåÉÉêÉÇ= íÜÉ= íê~åëéä~åí~íáçå= çÑ= Å~Ç~îÉê= ~çêíáÅ= î~äîÉë= ~åÇ=íÜÉó=ÇáÇ= ëç=ïÉääI=ïÉ= ëí~êíÉÇ=çÑÑ= íêóáåÖ= íç= áããìåçëìééêÉëë= íÜÉ=é~íáÉåíë=ïáíÜçìí=êÉ~äáòáåÖ=íÜ~í=~ää=óçì=Ü~Ç=íç=Çç=ï~ë=íêÉ~í=íÜÉ=ÜçãçÖê~Ñíë= äáâÉ=Äáíë=çÑ= äÉ~íÜÉê=~åÇ=äÉ~îÉ=íÜÉã=~äçåÉK=qç=ëçãÉ=ÉñíÉåí=ïÉ=ÇáÇ=ãçêÉ=Ü~êã=íç=íÜÉ=Ñáêëí=ÑÉï=é~íáÉåíë=íÜ~å=~åó=ÖççÇK=^ë=Ñ~ê=~ë=açå~äÇÛë=xoçëëz=ÜÉ~êí=íê~åëéä~åí=ÉÑÑçêíë=ÜÉêÉ=ïÉêÉ=ÅçåÅÉêåÉÇI=f=íÜáåâ=íÜ~í=ÜÉ=ïçìäÇ=Ü~îÉ=ëí~êíÉÇ=ãìÅÜ=ëççåÉê=áÑ=áí=ï~ëåÛí=íÜ~í=íÜÉ=éÉçéäÉ=çå=íÜÉ=ãÉÇáÅ~ä=ëáÇÉ=ïÉêÉ=ë~óáåÖI=ÚkçI=åçI=açå~äÇI=ïÉ=~êÉ=åçí=êÉ~Çó=óÉíKÛ=fåÇÉÉÇ=f=íÜáåâ==================================================PV=páê=gçÜå=dçêëí=EÄK=NVOUF=ï~ë=éìÄäáÅ=êÉä~íáçåë=~ÇîáëÉê=íç=dìóÛë=eçëéáí~ä=Ñêçã=NVSU=íç=NVTQK=eÉ=Ü~Ç=ÄÉÉå=^ÇîÉêíáëáåÖ=~åÇ=mìÄäáÅ=oÉä~íáçåë=j~å~ÖÉê=çÑ=móÉ=iíÇ=Ñêçã=NVRP=íç=NVSP=ÄÉÑçêÉ=ëí~êíáåÖ=Üáë=çïå=Åçåëìäí~åÅó=Ñçê=íê~ÇÉ=ìåáçå=~åÇ=éìÄäáÅ=~ÑÑ~áêëI=gçÜå=dçêëí=C=^ëëçÅá~íÉëI=áå=NVSQK=eÉ=ï~ë=jm=E`çåF=Ñçê=eÉåÇçå=kçêíÜ=Ñêçã=NVTM=íç=NVVTK=QM= mêçÑÉëëçê= j~ìêáÅÉ= e= iÉëëçÑ= co`m= EÄK= NVOQF= ï~ë= `çåëìäí~åí= mÜóëáÅá~å= ~åÇ= `äáåáÅ~ä=fããìåçäçÖáëí= íç= dìóÛë= eçëéáí~äI= ä~íÉê= mêçÑÉëëçê= çÑ=jÉÇáÅáåÉ= íç= dìóÛë= = Ñêçã= NVTN= Eä~íÉê= íÜÉ=råáíÉÇ=jÉÇáÅ~ä=~åÇ=aÉåí~ä=pÅÜççäë=çÑ=dìóÛë=~åÇ=pí=qÜçã~ëÛë=eçëéáí~äëF=ìåíáä=Üáë=êÉíáêÉãÉåí=áå=NVUVI=åçï=mêçÑÉëëçê=bãÉêáíìëK=

=20

Early Heart Transplant Surgery in the UK

ÜÉ=éêçÄ~Ääó=ïçìäÇ=Ü~îÉ=ÖçåÉ=~ÜÉ~Ç=ÄÉÑçêÉ=_~êå~êÇ=áÑ=áí=Ü~ÇåÛí=ÄÉÉå=Ñçê=íÜ~íK=lìê=ÉÑÑçêíë= ïÉêÉ= åçí= îÉêó= ïÉää= ÅççêÇáå~íÉÇ= ~åÇ= Äó= ãçÇÉêå= ëí~åÇ~êÇë= åçí= îÉêó=ëÅáÉåíáÑáÅ=Ó=~åÇ=áÑ=íÜÉó=ïÉêÉ=åçí=íÜÉ=Å~ìëÉ=çÑ=íÜÉ=éêçÄäÉãëI=íÜÉó=~í=äÉ~ëí=ÇáÇ=åçí=ëçäîÉ=íÜÉãK=

Dr Eunice LockeyWQN= f= ÇçåÛí= Ü~îÉ= ~= ÖêÉ~í= ÇÉ~ä= íç= ~ÇÇK= g~åÉ= í~äâÉÇ= ~Äçìí= ÄÉáåÖ=~éé~ääÉÇ=~í=ëÉÉáåÖ=~= äáîÉ=é~íáÉåí=ïáíÜçìí=~=ÜÉ~êíK=jó=ÖêÉ~íäó=êÉëéÉÅíÉÇ=ÅçääÉ~ÖìÉI=oÉÖÖáÉ= eìÇëçåIQO= ï~ë= îÉêó= çééçëÉÇ= íç= ÜÉ~êí= íê~åëéä~åí~íáçå= ~í= íÜ~í= íáãÉ= ~åÇ=ìéëÉí=íÜ~í=áí=ï~ë=åçí=~=ïÜçäÉ=éÉêëçå=xíÜÉ=Ççåçêz=áå=Üáë=éçëí=ãçêíÉã=êççãK=

f=íÜáåâ=ïÉ=âÉéí=jê=tÉëí=ëç=äçåÖ=áå=íÜÉ~íêÉ=ÄÉÅ~ìëÉ=ïÉ=Ü~Ç=îÉêó=ÑÉï=ëáåÖäÉ=êççãë=~åÇ=ïÉ=ïÉêÉ=îÉêó=ÅçåÅÉêåÉÇ=~Äçìí=áåÑÉÅíáçåK=mÉçéäÉ=ÜÉëáí~íÉ=ÄÉÑçêÉ=ÖçáåÖ=áåíç=~å=çéÉê~íáåÖ=íÜÉ~íêÉI=ÄÉÅ~ìëÉ=íÜÉó=Ü~îÉ=Öçí=íç=ÖÉí=ìåÇêÉëëÉÇ=~åÇ=êÉÇêÉëëÉÇ=~åÇ=éìí=çå=Ü~íë=~åÇ=çîÉêëÜçÉëK=vçì=Å~å=âÉÉé=~=ÖççÇ=ÇÉ~ä=ãçêÉ=Åçåíêçä=çîÉê=ïÜç=áë=ÖçáåÖ=áå= ~åÇ= çìíK= jçîÉãÉåí= ÖêÉ~íäó= ÜÉäéë= áå= íÜÉ= ëéêÉ~Ç= çÑ= Ä~ÅíÉêá~K=tÉ= äÉ~êåí= íÜáë=é~êíáÅìä~êäó=ïÜÉå=~=ä~êÖÉ=ÅÜìåâ=çÑ=ÅÉáäáåÖ=éä~ëíÉê=ÑÉää=çÑÑ=áå=çìê=çéÉê~íáåÖ=íÜÉ~íêÉ=ëìáíÉX=åçí=~í= íÜ~í=íáãÉI=Äìí=É~êäáÉêI=~åÇ=íÜÉ=íÜÉ~íêÉë=Ü~Ç=íç=ÄÉ=ÅäçëÉÇ=ïÜáäëí=íÜÉó=ïÉêÉ= êÉéä~ëíÉêÉÇK=açå~äÇ= içåÖãçêÉ= ÅêÉ~íÉÇ= ~= éä~ëíáÅ= çéÉê~íáåÖ= íÉåí= ïÜáÅÜ=ï~ë=éìí=ìé=áå=íÜÉ=fqrKQP=qÜáë=ëçìåÇë=äáâÉ=~=àçâÉI=Äìí=óçì=ÅçìäÇ=~Åíì~ääó=ëíÉêáäáòÉ=íÜÉ=~êÉ~I=~åÇ=ïÉ=ÇáÇ=çéÉå=ÜÉ~êí=ëìêÖÉêó=íÜÉêÉ=ïáíÜ=åç=éêçÄäÉãëK==

qÜÉ= Ñáêëí= Ç~ó= ï~ë= äáâÉ= ~= ÅáêÅìëI= éÉçéäÉ= ïÉ= ÇáÇåÛí= âåçï= ÉñáëíÉÇ= ~êêáîÉÇ= ~í= íÜÉ=íÜÉ~íêÉ= íç= ëÉÉ= íÜÉ= éÉêÑçêã~åÅÉI= ëç= íç= ëéÉ~âI= ~åÇ= íÜÉ= Ä~ÅíÉêá~ä= Ñ~ääJçìí= ï~ë=áåÅêÉÇáÄäÉK= ^ÑíÉê= íÜ~í= páëíÉê= `ìêêó= EíÜÉ= íÜÉ~íêÉ= ëìéÉêáåíÉåÇÉåíF= ~åÇ= f= ëí~íáçåÉÇ=çìêëÉäîÉë= ~í= íÜÉ= Éåíê~åÅÉ= ~åÇ= áÑ= ïÉ= ÇáÇåÛí= êÉÅçääÉÅí= ëÉÉáåÖ= ëçãÉçåÉ= ÄÉÑçêÉI= ïÉ=~ëâÉÇ=íÜÉã=ïÜ~í=íÜÉáê=ÑìåÅíáçå=ï~ëK=qÜÉ=Ñ~ääJçìí=çÑ=Ä~ÅíÉêá~=ïÉåí=Ççïå=íç=îÉêó=äáííäÉK=_ìí= íÜÉêÉ=ïÉêÉ= ~äï~óë= éäÉåíó= çÑ= éÉçéäÉ=ïáíÜ=jê=tÉëíK=eÉ=ï~ëåÛí= çå=Üáë=çïå=Äó=~åó=ãÉ~åëK=

TreasureW= f= íÜáåâ=ïÉ=çìÖÜí=íç=ÜÉ~ê=Ñêçã=íÜÉ=~å~ÉëíÜÉíáëíëK=qÜÉó=~äï~óë=íÉåÇ=íç=ÄÉ= ÑçêÖçííÉå= Äó= ëìêÖÉçåë= ÇçåÛí= íÜÉó\= _ìí= áå= íÜÉ= ïÜçäÉ= çÑ= çìê= ïçêâ= áå===

=================================================QN=aê=bìåáÅÉ=içÅâÉó= EÄK=NVORF=ï~ë=~=`çåëìäí~åí=`äáåáÅ~ä=m~íÜçäçÖáëí=ïáíÜ=é~êíáÅìä~ê= áåíÉêÉëí= áå=çéÉå=ÜÉ~êí=ëìêÖÉêó=~åÇ=áåíÉåëáîÉ=Å~êÉ=ïçêâI=~åÇ=~=Åçåëìäí~åí=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä=Ñêçã=NVSP=íç=NVTQK=QO=mêçÑÉëëçê=oÉÖáå~äÇ=eìÇëçå=ENVNMÓNVVOF=ï~ë=Å~êÇáçî~ëÅìä~ê=é~íÜçäçÖáëí=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä=Ñêçã=Üáë=~ééçáåíãÉåí=áå=NVQU=~åÇ=mêçÑÉëëçê=çÑ=m~íÜçäçÖó=~í=íÜÉ=fåëíáíìíÉ=çÑ=`~êÇáçäçÖóI=råáîÉêëáíó=çÑ=içåÇçå=E~ëëçÅá~íÉÇ=ïáíÜ=íÜÉ=_êáíáëÜ=mçëíÖê~Çì~íÉ=jÉÇáÅ~ä=cÉÇÉê~íáçå=~åÇ=ä~íÉê=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~äI=ãÉêÖÉÇ=áå=NVTO=ïáíÜ=íÜÉ=fåëíáíìíÉ=çÑ=aáëÉ~ëÉë=çÑ=íÜÉ=`ÜÉëí=íç=Ñçêã=íÜÉ=`~êÇáçíÜçê~ÅáÅ= fåëíáíìíÉI= êÉå~ãÉÇ= íÜÉ= k~íáçå~ä= eÉ~êí= ~åÇ= iìåÖ= fåëíáíìíÉI= ~åÇ= ãÉêÖÉÇ= ïáíÜ=fãéÉêá~ä= `çääÉÖÉ= çÑ= pÅáÉåÅÉI= qÉÅÜåçäçÖó= ~åÇ=jÉÇáÅáåÉ= ~ë= é~êí= çÑ= áíë= åÉï= _áçãÉÇáÅ~ä= pÅáÉåÅÉ=c~Åìäíó= áå= NVVRF= Ñêçã=NVSS=ìåíáä= Üáë= êÉíáêÉãÉåí= áå=NVTNI= íÜÉå=bãÉêáíìëK= pÉÉ=eìÇëçå=o=b=_K=ENVSRÓNVTMF=`~êÇáçî~ëÅìä~ê=m~íÜçäçÖóK=P=îçäëK=_~äíáãçêÉI=jaW=táääá~ãë=C=táäâáåëK=QP=^åçåK=ENVSRF=eçëéáí~ä=ëÜìíë=çéÉê~íáåÖ=íÜÉ~íêÉëK=qÜÉ=qáãÉë=EO=^éêáä=NVSRFK=

21

Early Heart Transplant Surgery in the UK

Å~êÇáçíÜçê~ÅáÅ= ëìêÖÉêóI= çÑ= ÅçìêëÉI= íÜÉó= ~êÉ= ÅÉåíê~ä= ~åÇ= íÜÉáê= ïáääáåÖåÉëë= íç=ÅççéÉê~íÉ=ïáíÜ=ëçãÉ=çÑ=íÜÉ=íÜáåÖë=íÜ~í=ïÉ=ÖÉí=ìé=íç=áë=íÜÉ=çåäó=êÉ~ëçåI=çÑ=ÅçìêëÉI=íÜ~í=ïÉ=Å~å=Öç=~ÜÉ~ÇK=mêçÑÉëëçê=gçÜå=_ìåâÉê=áë=ÜÉêÉI=~åÇ=~äíÜçìÖÜ=ÜÉ=ï~ëåÛí=é~êí=çÑ=íÜÉ=içåÇçå=ïçêâI=ÜÉ=ï~ë=ïáíÜ=kçêã~å=pÜìãï~ó=~åÇ=Üáë=ïêáííÉå=êÉÅçääÉÅíáçåë=çÑ= áí= ~êÉ= Ñ~ëÅáå~íáåÖ=~åÇ=îÉêó=ÉåíÉêí~áåáåÖK=mêçÑÉëëçê=_ìåâÉêI=pÜìãï~óÛë= êçäÉ= áå=~ää=íÜáë=Ü~ë=ÄÉÉå=ãÉåíáçåÉÇI=~åÇ=íÜÉ=Ñ~Åí=íÜ~í=ÜÉ=Öçí=`Üêáëíá~~å=_~êå~êÇ=ëí~êíÉÇI=~åÇ=ï~ë=ÄÉÜáåÇ=~ää=íÜáë=íÜáåâáåÖI=Ü~ë=ÄÉÉå=êÉÑÉêêÉÇ=íç=Äó=açå~äÇ=oçëëK=`~å=óçì=íÉää=ìë=~=Äáí=~Äçìí=áí\=

Professor John BunkerWQQ=qÜÉ=Ñáêëí=ÜÉ~êí=íê~åëéä~åí=~í=pí~åÑçêÇ=ï~ë=~ë=áåíÉêÉëíáåÖ=Ñçê=ìë=~ë=óçìêë=ï~ë=Ñçê=óçì=~=ÑÉï=ãçåíÜë=ä~íÉêK=pÜìãï~ó=Ü~Ç=ÅçãéäÉíÉÇ=íÉå=óÉ~êë=çÑ=êÉëÉ~êÅÜ=áå=~åáã~äë=Äó=íÜÉ=íáãÉ=íÜ~í=`Üêáëíá~~å=_~êå~êÇ=îáëáíÉÇ=Ñçê=íïç=ãçåíÜë=~í=pí~åÑçêÇ=~åÇ=íÜÉå=ïÉåí=ÜçãÉ=íç=éÉêÑçêã=íÜÉ=ïçêäÇÛë=Ñáêëí=Üìã~å=íê~åëéä~åíK=fÑ=pÜìãï~ó= Åçãéä~áåÉÇI= fÛã= ëìêÉ= íÜ~í= f= ïçìäÇ= Ü~îÉ= ÜÉ~êÇI= ~åÇ= ÜÉ= åÉîÉê= ÇáÇK= f=ÇçåÛí=íÜáåâ=ÜÉ=êÉëÉåíÉÇ=íÜÉ=Ñ~Åí=íÜ~í=_~êå~êÇ=Ü~Ç=çåÉJìééÉÇ=ÜáãI=Äìí=ê~íÜÉê=íÜ~í=ÜÉ= ÑçìåÇ=íÜ~í=_~êå~êÇÛë= íê~åëéä~åí=Ü~Ç=çéÉåÉÇ=íÜÉ=ÇççêëI=ÄÉÅ~ìëÉ=ïÉ=ïÉêÉ= áå=~=îÉêó=ÇáÑÑáÅìäí=ãÉÇáÅçJäÉÖ~ä=áãé~ëëÉ=~í=íÜ~í=íáãÉK=

pÜìãï~ó= Ü~Ç=ã~ÇÉ= ÉñíÉåëáîÉ= éêÉé~ê~íáçå= áå= íÜÉ= ëìêÖáÅ~ä= ä~Äçê~íçêóI= Äìí= íÜÉêÉ=ï~ë= äáííäÉ= ï~êåáåÖI= ÉñÅÉéí= íç= íÜÉ= Å~êÇáçäçÖáëíëI= íÜ~í= ~= íê~åëéä~åí= ï~ë= ~Äçìí= íç=çÅÅìêK= f= Çç= âåçï= íÜ~í= ÜÉ= Ü~ÇåÛí= ÅçåëìäíÉÇ= ìë= áå= ~å~ÉëíÜÉëá~I= åçê= ï~ë= íÜÉêÉ=ï~êåáåÖ= íç= íÜÉ= ÄäççÇ= Ä~åâ= çê= íç= íÜÉ= Ü~Éã~íçäçÖáëíëK= få= íÜÉ= ÉîÉåí= íÜÉêÉ= ïÉêÉ==OUU=íê~åëÑìëáçåë=ÇìêáåÖ=íÜÉ=ëìêÖÉêó=~åÇ=íÜÉ=íÜêÉÉ=ÑçääçïáåÖ=Ç~óë=íÜ~í=íÜÉ=é~íáÉåí=äáîÉÇI= ~åÇ= íÜÉ= Ü~Éã~íçäçÖáëíë= ÑçìåÇ= íÜÉãëÉäîÉë= ÅçåÑêçåíÉÇ= ïáíÜ==Ü~Éã~íçäçÖáÅ~ä=éêçÄäÉãë=ÉåíáêÉäó=åÉï=íç=íÜÉãK=f=Ü~Ç=ÖêÉ~í=ÇáÑÑáÅìäíó=áå=êÉÅêìáíáåÖ=ãó=ÅçääÉ~ÖìÉë= áå=~åÉëíÜÉëá~= íç=é~êíáÅáé~íÉK=qÜÉêÉ=ïÉêÉ=çåäó= íïç=çÑ=ìë=ïáääáåÖ= íç=Ü~îÉ= ~åóíÜáåÖ= íç= Çç= ïáíÜ= íÜÉ= íê~åëéä~åíI= ÄÉÅ~ìëÉ= ïÉ= Ü~Ç= ÄÉÉå= ï~êåÉÇ= Äó= íÜÉ==äçÅ~ä=ÇáëíêáÅí=~ííçêåÉó=íÜ~í=ïÉ=ÅçìäÇ=ÉñéÉÅí=íç=ÄÉ=áåÇáÅíÉÇ=Ñçê=ãìêÇÉêK=f=~ëëáÖåÉÇ=ãóëÉäÑ= íç= éêçîáÇÉ= ëìééçêí= íç= íÜÉ= Ççåçê= ~åÇ= aê= `Ü~êäÉë= tÜáíÅÜÉê= ï~ë= íÜÉ=~å~ÉëíÜÉíáëí=Ñçê=íÜÉ=êÉÅáéáÉåíKQR

^í= íÜ~í= íáãÉ= Äê~áå= ÇÉ~íÜ= Ü~Ç= åçí= ÄÉÉå= Éëí~ÄäáëÜÉÇ= ~ë= ~= äÉÖ~ä= Ä~ëáë= Ñçê= çêÖ~å=íê~åëéä~åí~íáçåK= qÜÉ= äçÅ~ä= ÅçêçåÉê=ï~ë= åçí= éäÉ~ëÉÇ= íÜ~í= íÜÉ= ÜÉ~êí=ï~ë= êÉãçîÉÇ=ÄÉÑçêÉ=ÜÉ=ÅçìäÇ=Å~êêó=çìí=~å=~ìíçéëóK=eÉ=ë~áÇI=~ÑíÉêï~êÇëI=ÚtÜÉå=f=Çç=~å=~ìíçéëóI=

=================================================QQ=mêçÑÉëëçê=gçÜå=_ìåâÉê=EÄK=NVOMF=ï~ë=mêçÑÉëëçê=çÑ=^å~ÉëíÜÉëá~=~í=pí~åÑçêÇ=råáîÉêëáíó=Ñêçã=NVSM=íç=NVUVI=åçï=bãÉêáíìëI= ~åÇ=sáëáíáåÖ=mêçÑÉëëçê= ~í= íÜÉ=aÉé~êíãÉåí=çÑ=béáÇÉãáçäçÖó=~åÇ=mìÄäáÅ=eÉ~äíÜ= ~í= råáîÉêëáíó= `çääÉÖÉ= eçëéáí~ä=jÉÇáÅ~ä= pÅÜççä= ëáåÅÉ= NVVMK= pÉÉ= _ìåâÉê= gK= ENVTOF=qÜÉ=^åÉëíÜÉëáçäçÖáëí= ~åÇ= íÜÉ=pìêÖÉçåK=_çëíçåI=j^W=iáííäÉ=_êçïåI= ÉëéÉÅá~ääó=ÅÜ~éíÉê=UI= Úqê~åëéä~åíáåÖ=íÜÉ=ÜÉ~êí=~í=pí~åÑçêÇW=pÜìãï~ó=~åÇ=íÜÉ=~åÉëíÜÉëáçäçÖáëíëÛI=NOPÓNPUK=QR=jê=jáâÉ=h~ëéÉê~âI= ~ÖÉÇ=RQI= êÉÅÉáîÉÇ= íÜÉ= ÜÉ~êí= çÑ=jêë=sáêÖáåá~=tÜáíÉI= ~ÖÉÇ=QPI=ïÜç=Ü~Ç= ~=ã~ëëáîÉ= ëìÄ~ê~ÅÜåçáÇ=Ü~ÉãçêêÜ~ÖÉI=çå=S=g~åì~êó=NVSUK=qÜÉ=ÄäççÇ=Ä~åâ=éêçîáÇÉÇ=OUU=ìåáíë=çÑ=ÄäççÇ=áå=íÜÉ=íïç=ïÉÉâë=ìåíáä=Üáë=ÇÉ~íÜK=qÜÉ=ÇÉÑáåáíáçå=çÑ=ÇÉ~íÜ=ÇÉéÉåÇÉÇ=çå=ïÜÉíÜÉê=íÜÉ=ÜÉ~êí=ÅçìäÇ=ÄÉ=êÉîáîÉÇK=çéK=ÅáíK=åçíÉ=QQ=~ÄçîÉI=NOSÓNOUK=jê=h~ëéÉê~â=ÇáÉÇ=~ÑíÉê=NR=Ç~óëK=

=22

Early Heart Transplant Surgery in the UK

f=ÇçåÛí=ï~åí=~åóçåÉ= ÑáÇÇäáåÖ=ïáíÜ=ãó=ÄçÇáÉëKÛ= QS=pÜìãï~ó=ï~ë=åçí=ÇÉíÉêêÉÇ=Äó=íÜÉ=éçëëáÄáäáíó=íÜ~í=ÜÉ=ãáÖÜí=ÄÉ=áåÇáÅíÉÇ=Ñçê=ãìêÇÉêI=åçê=ï~ë=fK=pç=ïÉ=ïÉåí=~ÜÉ~ÇI=ïáääó=åáääóI=~åÇ=Ñçêíìå~íÉäó=íÜÉ=ÇáëíêáÅí=~ííçêåÉó=Ñçê=íÜÉ=pí~íÉ=çÑ=`~äáÑçêåá~=íççâ=~=ãìÅÜ=ãçêÉ=êÉ~äáëíáÅ=îáÉï=çÑ=íÜÉ=ã~ííÉêK=qÜÉêÉ=ï~ë=ëçãÉ=í~äâ=~Äçìí=ÚtÜó=ïÉêÉåÛí=íÜÉ=ä~ïóÉêë=íÜÉêÉ=íç=ëÉí=íÜÉ=ÖìáÇÉäáåÉë=íÜ~í=ïçìäÇ=Ü~îÉ=éêçíÉÅíÉÇ=ìë=áå=~Çî~åÅÉ\Û=qÜÉ= ä~ïóÉêë= êÉëéçåÇÉÇ= íÜ~í= Úvçì= áå=ãÉÇáÅáåÉ=Ü~îÉ= íç=Éëí~ÄäáëÜ=óçìê=éêçÅÉÇìêÉë=~åÇ=ïÉ=ïáää=íêó=íç=ÇÉíÉêãáåÉ=Üçï=íç=äÉÖ~äáòÉ=íÜÉã=~ÑíÉêï~êÇëKÛQT

pç=íÜ~íÛë=ïÜ~í=Ü~ééÉåÉÇK=f=Çç=ï~åí=íç=~ÇÇ=íÜ~í=íÜÉ=êçäÉ=çÑ=íÜÉ=Å~êÇáçäçÖáëíë=ï~ë=ÅÉåíê~ä= íç=íÜÉ=ëìÄëÉèìÉåí=Éñíê~çêÇáå~êáäó=ÖççÇ=êÉÅçêÇ=~í=pí~åÑçêÇK=^í=íÜÉ=ÉåÇ=çÑ=íÜÉ=Ñáêëí=Ñçìê=óÉ~êëI=pÜìãï~óÛë=çåÉJóÉ~ê=ëìêîáî~ä=ê~íÉ=ï~ë=QM=éÉê=ÅÉåíI=~ë=çééçëÉÇ=íç=NR=éÉê=ÅÉåí=ïçêäÇïáÇÉK=pÜìãï~óÛë=íÉÅÜåáÅ~ä=~ÅÅçãéäáëÜãÉåí=ï~ë=êÉã~êâ~ÄäÉI=Äìí=íÜÉ=Å~êÇáçäçÖáëíëI=gçÜå=pÅÜêçÉÇÉê=~åÇ=açå=e~êêáëçåI=ÇÉëÉêîÉ=Éèì~ä=ÅêÉÇáí=Ñçê=íÜÉáê=Ç~óJíçJÇ~ó=Å~êÉ=áå=íÜÉ=éçëíJçéÉê~íáîÉ=Ç~óë=~åÇ=ãçåíÜëKQU==

TreasureW=qÜÉ=dìóÛë= ~å~ÉëíÜÉíáëíë=çÑ= íÜÉ= íáãÉ=~êÉ= ~äëç=ÜÉêÉI= íïç=çÑ= íÜÉã=Ó=aê=o~óãçåÇ= s~äÉ= ~åÇ= aê= `~êåÉÖáÉI= ïÜçã= f= êÉãÉãÄÉê= îÉêó= ïÉää= Ñêçã= ãó==Ç~óë=~ë=eçìëÉã~åK=

Dr David CarnegieWQV= f= Å~å=ÖáîÉ=óçì=~=Äáí=çÑ= áåÑçêã~íáçåI=ÄÉÅ~ìëÉ= f=Ü~ééÉå= íç=Ü~îÉ= íÜÉ=çêáÖáå~ä= ~å~ÉëíÜÉíáÅ= êÉÅçêÇ=Å~êÇ= Ñçê=açå~äÇ=oçëëÛë= íê~åëéä~åí=~í=dìóÛëX=~äëçI= f= Å~å= íÉää= óçì= ëçãÉíÜáåÖ= ~Äçìí= íÜÉ= ÇçåçêK= qÜÉ= çéÉê~íáçå= íççâ= éä~ÅÉ= çå=cêáÇ~óI= NS= j~ó= NVSVK= lå= íÜÉ= qÜìêëÇ~ó= ~ÑíÉêåççå= f= ï~ë= ÇçáåÖ= íÜÉ= êçìíáåÉ=Å~êÇá~Å=äáëí=ïáíÜ=açå~äÇ=xoçëëz=ïÜÉå=~=ãÉëë~ÖÉ=Å~ãÉ=íÜêçìÖÜ=íç=Üáã=ë~óáåÖ=íÜ~í=íÜÉêÉ=ï~ë=~=éçëëáÄäÉ=Å~ëì~äíó=íÜ~í=ÅçìäÇ=ÄÉ=ìëÉÇ=~ë=~=Ççåçê=Ñçê=~=ÜÉ~êí=íê~åëéä~åíK=qÜÉ= åÉñí= íÜáåÖ= íÜ~í= Ü~ééÉåÉÇI= ÜÉ= ~ëâÉÇ= ãÉ= áÑ= f= ÅçìäÇ= Öç= Ççïå= íç= mìíåÉó=eçëéáí~ä= ÄÉÅ~ìëÉ= ~= åìêëÉ= Ü~Ç= ÄÉÉå= áåàìêÉÇ= áå= ~= ãçíçêÅóÅäÉ= ~ÅÅáÇÉåí= íïç= Ç~óë=éêÉîáçìëäó=~åÇ=íÜÉó=íÜçìÖÜí=ëÜÉ=ãáÖÜí=ÄÉ=~=ëìáí~ÄäÉ=ÇçåçêK=f=ïÉåí=Ççïå=áå=íÜÉ=~ãÄìä~åÅÉI= ÑçìåÇ=ÜÉê=çå=~=îÉåíáä~íçêI= íççâ=ÜÉê=çÑÑI=îÉåíáä~íÉÇ=ÜÉê=Äó=Ü~åÇI=~åÇ=ÄêçìÖÜí=ÜÉê=Ä~Åâ=çå=qÜìêëÇ~ó=ÉîÉåáåÖ=íç=dìóÛëK=qÜÉ=ÑçääçïáåÖ=ãçêåáåÖ=ëÜÉ=Ü~Ç=~å= bbdI=ï~ë= ÅçåëáÇÉêÉÇ= Äê~áåJÇÉ~Ç= ~åÇ= íÜÉêÉÑçêÉ= ëìáí~ÄäÉ= ~ë= ~= ÇçåçêK= pç= íÜ~í=~ÑíÉêåççå= ~í= NTKOMI= ïÉ= ëí~êíÉÇ= íÜÉ= çéÉê~íáçå= ~åÇ= f= íÜçìÖÜí= ~= ÜÉ~êí= íê~åëéä~åí=ïçìäÇ=Öç=çå=Ñçê=~Äçìí=ÉáÖÜí=çê=íÉå=ÜçìêëI=Äìí=f=ÇáëÅçîÉêÉÇ=áí=ï~ë=~=ãìÅÜ=èìáÅâÉê===

=================================================QS=çéK=ÅáíK=åçíÉ=QQ=~ÄçîÉI=NPMK=QT=Úfí=ïçìäÇ=~ééÉ~ê=íç=ãÉ=íÜ~í=ÇìÉ=íç=íÜÉ=ìåáèìÉåÉëë=çÑ=ëìÅÜ=çéÉê~íáçå~ä=éêçÅÉÇìêÉë=~åÇ=íÜÉ=ä~Åâ=çÑ=íÜÉ=~Äáäáíó=çÑ=íÜÉ=ä~ï=íç=~åíáÅáé~íÉ=éêçÄäÉãë=ìåíáä=íÜÉó=~êáëÉ=íÜ~í=íÜáë=ÉåíáêÉ=ã~ííÉê=êÉèìáêÉë=íÜÉ=ìíãçëí=ÅççéÉê~íáçå=~åÇ=ìåÇÉêëí~åÇáåÖ=Äó=~ää=ÅçåÅÉêåÉÇKÛ=aáëíêáÅí=^ííçêåÉóI=p~åí~=`ä~ê~=`çìåíóI=å~ãÉ=åçí=ÖáîÉåK=p~å=gçëÉ=jÉêÅìêóI=OT=^ìÖìëí=NVSUK=çéK=ÅáíK=åçíÉ=QQ=~ÄçîÉI=èìçíÉ=çå=é~ÖÉ=NPNK=QU=píáåëçå=b=_I=açåÖ=b=gêI=pÅÜêçÉÇÉê=g=pI=e~êêáëçå=a=`I=pÜìãï~ó=k=bK=ENVSUF=fåáíá~ä=ÅäáåáÅ~ä=ÉñéÉêáÉåÅÉ=ïáíÜ=ÜÉ~êí=íê~åëéä~åí~íáçåK=^ãÉêáÅ~å=gçìêå~ä=çÑ=`~êÇáçäçÖó=OOW=TVNÓUMPK=QV=pÉÉ=ÄáçÖê~éÜáÅ~ä=åçíÉI=çéK=ÅáíK=åçíÉ=PT=~ÄçîÉK==

23

Early Heart Transplant Surgery in the UK

çéÉê~íáçå= íÜ~å= ~= äçí= çÑ= íÜÉ= ÜÉ~êí= î~äîÉë= íÜ~í= ïÉ= ÇÉ~äí= ïáíÜK= tÉ= ëí~êíÉÇ= íÜÉ=çéÉê~íáçå=~í=NTKOMI=~í=NUKNR=íÜÉó=ïÉêÉ=çå=íç=Äóé~ëëI=~í=NVKPM=ïÉ=ïÉêÉ=çÑÑ=Äóé~ëë=~åÇ= íÜÉ= é~íáÉåí= ï~ë= Ä~Åâ= áå= íÜÉ= áåíÉåëáîÉ= Å~êÉ= ìåáí= Äó= ONKPMI= áå= îÉêó= ÖççÇ=ÅçåÇáíáçåK= f= íÜáåâ= áí= ï~ë= íÜÉ= Ñ~Åí= íÜ~í= açå~äÇ= xoçëëz= Ü~Ç= íÜÉ= î~ëí= ÉñéÉêáÉåÅÉ==çÑ= íïç= Å~êÇá~Å= íê~åëéä~åíëI= íÜ~í= ïÜÉå= ÜÉ= Å~ãÉ= íç= Çç= íÜÉ= çåÉ= áå= ïÜáÅÜ= f==ï~ë= áåîçäîÉÇI= áí= ï~ë= ~ää= ÉñíêÉãÉäó= èìáÅâ= ~åÇ= ãìÅÜ= É~ëáÉê= íÜ~å= ~= äçí= çÑ= íÜÉ==çíÜÉê=Å~êÇá~Å=ëìêÖÉêóK=

Jane SomervilleW= f= ïçìäÇ= àìëí= äáâÉ= íç= ë~ó= íÜ~í= gçÜå=dçêëíRM= Å~ãÉ= íç= çìê= êÉëÅìÉ=ïÜÉå=ïÉ=ã~ÇÉ= ëìÅÜ=~=ÅçãéäÉíÉ=ãÉëë=ìé=çÑ=éìÄäáÅáíó= ëççå=~ÑíÉêI=ïÜÉå=ïÉ=ïÉêÉ=èìáíÉ=ÇÉäáÖÜíÉÇ=ïáíÜ=çìêëÉäîÉë= ~åÇ=Ü~Ç= ~=éêÉëë= ÅçåÑÉêÉåÅÉ= ~åÇ=~ééÉ~êÉÇ=ï~îáåÖ=ìåáçå= à~Åâë= çê= ëçãÉíÜáåÖ= ~åÇ= íÜ~í=ï~ë= åçí= íÜçìÖÜí= îÉêó= ÖççÇKRN= f= ÇçåÛí= âåçï=ïÜ~í= ïÉ= ë~áÇI= íÜÉêÉ= ãìëí= ÄÉ= ~= êÉÅçêÇ= ëçãÉïÜÉêÉI= Äìí= ïÉ= ïÉêÉ= áå= íÜÉ= eÉ~êí=eçëéáí~ä= ~åÇ=ïÉ= ~ééÉ~êÉÇ= ~í= íÜÉ= êÉèìÉëí= çÑ= íÜÉ=eçìëÉ=dçîÉêåçê= ~åÇ= áí=ï~ë= ~ää=~êê~åÖÉÇ= ~åÇ= íÜÉ= éêÉëë= ïÉêÉ= íÜÉêÉ= ~åÇ= íÜÉêÉ= ïÉêÉ= ãáÅêçéÜçåÉë= ~åÇ= íÜÉå=ëçãÉíáãÉ= ~ÑíÉê= íÜ~íK= gçÜå=dçêëí= ëçêí= çÑ= éêçÇìÅÉÇ=ÜáãëÉäÑ= ~åÇ= ë~áÇI= Úvçì= ÅÜ~éë=ÇçåÛí=âåçï=Üçï=íç=Ü~åÇäÉ=éìÄäáÅáíóI=f=ïáää=ÜÉäé=óçìÛK=eÉ=Å~ãÉ=áå=ïáíÜ=íÜÉ=Ñáêëí=íê~åëéä~åí= ~åÇ= íÜÉå=ÜÉ=ÇáÇ= ÉîÉêóíÜáåÖ= ~ÑíÉê= íÜ~íK= pç= áÑ= ~í=dìóÛëI= åìãÄÉê= íÜêÉÉI=ÑçìêI= çê= ïÜ~íÉîÉê= áí= áë= Ççïå= íÜÉ= äáåÉI= Äó= íÜÉå= gçÜå= dçêëí= ï~ë= ~= îÉêáí~ÄäÉ==éêçÑÉëëçê=çÑ=Ü~åÇäáåÖ=íê~åëéä~åí=mo=Ó=f=íÜáåâ=óçì=Å~å=ÄÉÅçãÉ=~=éêçÑÉëëçê=ïáíÜ=~ë=äáííäÉ=~ë=íÜêÉÉ=Å~ëÉëK==

Donald RossW=fí=ï~ë=~=îÉêó=ìåìëì~ä=íÜáåÖ=Ó=éìÄäáÅ=êÉä~íáçåë=áå=êÉä~íáçå=íç=ëìêÖÉêó=Ó= ~åÇ= ïÉ= ïÉêÉ= áå= ~= ãÉëë= ïáíÜ= çìê= Ñáêëí= íê~åëéä~åí= áå= êÉä~íáçå= íç= íÜÉ= éêÉëë=é~êíáÅìä~êäóK=tÉ= Öçí= ~= äçí= çÑ= ÜçëíáäÉ= éêÉëëI= ~= äçí= çÑ= ÜçëíáäÉ= íÉäÉÖê~ãë= ~åÇ= äÉííÉêë=íÜêÉ~íÉåáåÖ= íç=âáää=ãÉ=~åÇ= ëç=çåK=pç= f= íÜáåâ=ïÉ=åÉÉÇÉÇ=~=ÖççÇ=éìÄäáÅ= êÉä~íáçåë=éÉêëçå= ~åÇ= gçÜå= dçêëíI= ïÜç= áë= åçï= páê= gçÜå= dçêëíI= ~ééÉ~êÉÇK= f= ÇçåÛí= âåçï=ïÜÉêÉ=ÜÉ=Å~ãÉ=Ñêçã=~ë=~=ã~ííÉê=çÑ=Ñ~ÅíI=Äìí=ÜÉ=ï~ë=îÉêó=ïÉäÅçãÉ=~åÇ=ÜÉ=ÖìáÇÉÇ=ìë= Ñêçã= íÜ~í= íáãÉ=çå= íÜêçìÖÜ= ~ää= íÜÉ= íÜêÉÉ= íê~åëéä~åíëK= f=ãìëí= ë~óI= f= âåçï=ãó=ÅçääÉ~ÖìÉ= çå=ãó= äÉÑí= x_~êêó=oçëëz= ÇçÉëåÛí= ëÜ~êÉ=ãó= îáÉïI= Äìí= f=ïÉäÅçãÉÇ= Üáã=íÜÉåI=~åÇ=ïçìäÇ=ïÉäÅçãÉ=Üáã=~Ö~áåK=

TreasureW=açå~äÇ=oçëëI=íÜ~åâ=óçìI=íÜ~íÛë=îÉêó=ÜÉäéÑìäK=gìëí=Ñçê=íÜÉ=êÉÅçêÇI=f=Ü~îÉ=ÄÉÉå= íÜêçìÖÜ= ~ää= íÜÉ= ÅçêêÉëéçåÇÉåÅÉ= Åçäìãåë= çÑ= íÜÉ= _êáíáëÜ= jÉÇáÅ~ä= gçìêå~äI=ïÜáÅÜ= Çç= áåÅäìÇÉ= ëçãÉ= ÅêáíáÅáëãI= Äìí= ~äëç= áåÅäìÇÉ= ~= ÖêÉ~í= ÇÉ~ä= çÑ= ëìééçêíK===

=================================================RM=pÉÉ=ÄáçÖê~éÜáÅ~ä=åçíÉI=çéK=ÅáíK=åçíÉ=PV=~ÄçîÉK=RN=mêçÑÉëëçê=eÉÇäÉó=^íâáåëI=mêÉëáÇÉåí=çÑ=íÜÉ=oçó~ä=`çääÉÖÉ=çÑ=pìêÖÉçåëI=áå=~=äÉííÉê=íç=qÜÉ=qáãÉë=çå=NV=gìåÉ=NVSUI=íÜçìÖÜí=áí=ïçìäÇ=ÄÉ=ìåïáëÉ=Ñçê=m~êäá~ãÉåí=íç=Ä~å=íÜÉ=çéÉê~íáçåëK=

=24

Early Heart Transplant Surgery in the UK

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JosephW=j~ó=f=àìëí=ë~ó=íÜ~í=çåÉ=çÑ=íÜÉ=êÉ~ëçåë=Ñçê=íÜÉ=Ñä~Ö=ê~áëáåÖ=ï~ë=íÜ~í=áí=Öçí=ãáñÉÇ=ìé=ïáíÜ=íÜÉ=ÚfÛã=_~ÅâáåÖ=_êáí~áåÛ=Å~ãé~áÖåI=ïÜáÅÜ=ï~ë=áå=Ñìää=ëïáåÖ=~í=íÜÉ=íáãÉK=f=Å~ååçí=êÉãÉãÄÉê=ïÜó=ÉîÉêóÄçÇó=ï~ë=_~ÅâáåÖ=_êáí~áåX=f=éêÉëìãÉ=ïÉ=ïÉêÉ=áå=~åçíÜÉê=êÉÅÉëëáçå=~åÇ=ïÉ=ïÉêÉ=íêóáåÖ=íç=Çê~Ö=çìêëÉäîÉë=çìí=çÑ=áíKRO=qÜ~íÛë=ïÜó==íÜÉ= Ñä~Öë= ïÉêÉ= ê~áëÉÇK= få= êÉíêçëéÉÅíI= áí= ï~ë= ~=ãáëí~âÉI= Äìí= íÜÉêÉ= ï~ë= åç= ï~ó= çÑ=âåçïáåÖ=~í=íÜÉ=íáãÉK==

LockeyW= f= íÜáåâ= ÉîÉêóÄçÇó= Ü~Ç= ÄÉÉå= ìé= ~ää= åáÖÜí= ~åÇ= ï~ëåÛí= íÜáåâáåÖ= îÉêó=ëíê~áÖÜíK=

Sir Christopher BoothWRP=aìêáåÖ=íÜ~í=éÉêáçÇ=f=ï~ë=`Ü~áêã~å=çÑ=jÉÇáÅáåÉ=~í=íÜÉ=oçó~ä=mçëíÖê~Çì~íÉ=jÉÇáÅ~ä=pÅÜççä=~í=e~ããÉêëãáíÜI=~åÇ=e~ããÉêëãáíÜ=ï~ëI=çÑ=ÅçìêëÉI= íÜÉ= éä~ÅÉ= íÜ~í= çéÉå= ÜÉ~êí= ëìêÖÉêó= ï~ë= ÇÉîÉäçéÉÇ= ïáíÜ=jÉäêçëÉÛë= éìãé=Ä~ëÉÇ=çå=íÜÉ=gçÜåë=eçéâáåë=ïçêâK= RQ=f=íÜáåâ=íÜ~í=~ãçåÖ=íÜÉ=äÉííÉêë=éìÄäáëÜÉÇ=áå=íÜÉ= _êáíáëÜ= jÉÇáÅ~ä= gçìêå~ä= ~í= íÜáë= íáãÉI= íÜÉ= ãçëí= áåíÉêÉëíáåÖ= ï~ë= Ñêçã= íÜÉ=e~ããÉêëãáíÜ= ÖêçìéI= ïÜç= ïÉêÉ= îÉêó= ÅêáíáÅ~ä= çÑ= íÜÉ= ïÜçäÉ= éêçÖê~ããÉK= f= Ü~îÉ=åÉîÉê= èìáíÉ= ìåÇÉêëíççÇ=ïÜó= Å~êÇá~Å= ëìêÖÉçåë= ~í=e~ããÉêëãáíÜI= ïÜç= Ü~Ç= ÄÉÉå=éáçåÉÉêë= áå= íÜÉáê= íáãÉI= Ñ~ÅÉÇ= ïáíÜ= íÜÉ= éêçÄäÉãë= çÑ= Å~êÇá~Å= íê~åëéä~åí~íáçåI=êÉÅçáäÉÇ=áå=Üçêêçê=~åÇ=ë~áÇI=ÚkçKÛ=

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=================================================RO=pÉÉ=íÜÉ=ÑçääçïáåÖ=é~ÖÉ=Ñçê=íÜÉ=ÅçîÉê=çÑ=mêáî~íÉ=bóÉI=åçK=NTN=ER=gìäó=NVSUFI=êÉéêáåíÉÇ=ïáíÜ=íÜÉáê=éÉêãáëëáçåK=cáîÉ=íóéáëíë=~í=~=ÜÉ~íáåÖ=~åÇ=îÉåíáä~íáçå=Ñáêã=îçäìåíÉÉêÉÇ=íç=ïçêâ=~å=Éñíê~=PM=ãáåìíÉë=ÉîÉêó=Ç~ó=ïáíÜçìí=é~ó= Ñêçã=N= g~åì~êó=NVSU= íç= áåÅêÉ~ëÉ=_êáí~áåÛë=éêçÇìÅíáîáíó= ~åÇ= áåáíá~íÉÇ= íÜÉ=ÚfÛã=_~ÅâáåÖ=_êáí~áåÛ=Å~ãé~áÖåK=pÉÉ=^åçåK=ENVSUF=_~ÅâáåÖ=_êáí~áåW=qÜÉ=pìêÄáíçå=êÉîçäìíáçåK=qÜÉ=bÅçåçãáëí=ES=g~åì~êó=NVSUFW=NOK=RP=páê=`ÜêáëíçéÜÉê=_ççíÜ=hí=co`m=EÄK=NVOQF=íê~áåÉÇ=~ë=~=Ö~ëíêçÉåíÉêçäçÖáëí=~åÇ=ï~ë=aáêÉÅíçê=çÑ=íÜÉ=`äáåáÅ~ä=oÉëÉ~êÅÜ=`ÉåíêÉ=çÑ= íÜÉ=jÉÇáÅ~ä=oÉëÉ~êÅÜ=`çìåÅáä= Ñêçã=NVTU=íç=NVUUK=eÉ=ï~ë=íÜÉ=Ñáêëí=`çåîÉåçê= çÑ= íÜÉ=tÉääÅçãÉ=qêìëíÛë=eáëíçêó= çÑ=qïÉåíáÉíÜ=`Éåíìêó=jÉÇáÅáåÉ=dêçìéI= Ñêçã=NVVM=íç=NVVS=~åÇ=e~êîÉá~å=iáÄê~êá~å=~í=íÜÉ=oçó~ä=`çääÉÖÉ=çÑ=mÜóëáÅá~åë=Ñêçã=NVUV=íç=NVVTK=RQ= aÉãéëíÉê= t= gI= jÉäêçëÉ= a= dI= _Éåí~ää= e= eK= ENVSUF= pÅáÉåíáÑáÅI= íÉÅÜåáÅ~äI= ~åÇ= ÉíÜáÅ~ä=ÅçåëáÇÉê~íáçåë=áå=Å~êÇá~Å=íê~åëéä~åí~íáçåK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áW=NTTÓNTUK=pÉÉ=~äëç=aê=^êíÜìê=eçääã~åÛë=~ÅÅçìåí=çå=é~ÖÉ=PM=~åÇ=jÉäêçëÉÛë=ÄáçÖê~éÜáÅ~ä=åçíÉI=çéK=ÅáíK=åçíÉ=SR=ÄÉäçïK=

25

Early Heart Transplant Surgery in the UK

==

=26

Early Heart Transplant Surgery in the UK

=

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kçï=íÜÉ=çíÜÉê=íÜáåÖ=áë=íÜÉ=éêÉëëK=f=Ü~îÉ=~ää=íÜÉ=éêÉëë=ÅìííáåÖë=ÜÉêÉI=áå=çêÇÉê=~åÇ=íÜêÉÉ= ÄççâÑìääë= çÑ= íÜÉãI= ~åÇ= íÜÉó=ïÉåí= íÜêçìÖÜ= íÜÉ=ìëì~ä= êçìíáåÉ= çÑ= íÜÉ=éêÉëëK=iáâÉ=ïáíÜ=páê=^äÉÅ=oçëÉIRR=Ñáêëí=çÑ=~ääI=ÚtÜ~í=~=ã~êîÉääçìë=ã~åI=ÜÉ=ë~áäÉÇ=êçìåÇ=íÜÉ=ïçêäÇ=~äçåÉÛI=~åÇ=íÜÉåI=ÚtÜ~í=~=ÇáëÖê~ÅÉÑìä=íÜáåÖ=ÜÉ=éêÉÑÉêêÉÇ=ëÅê~éáåÖ=Üáë=Äç~íÛë=Äçííçã=íç=Üáë=ïáÑÉÛI=~åÇ=Ñáå~ääóI=ÚtÜó=áëåÛí=~åóÄçÇó=ÉäëÉ=ë~áäáåÖ=~äçåÉ=~êçìåÇ=íÜÉ=ïçêäÇ\Û=^åÇ=ïÉ=ïÉåí=íÜêçìÖÜ=íÜáë=íêá~Ç=çÑ=íÜáåÖë=~äëçK=cáêëí=çÑ=~ää= áí=ï~ëI= ÚtÜ~í=ã~êîÉääçìë= ÅÜ~éëKÛ= qÜÉå= áí= ï~ëI= Úeçï= ~ïÑìä= áí= áë= íÜ~í= íÜÉó= ÇáÇ= áíÛI= ~åÇ= Ñáå~ääóI=ÚtÜó=~êÉåÛí=íÜÉó=~ää=ÇçáåÖ=áí\Û=qÜáë=áë=~=ëí~åÇ~êÇ=éêÉëë=êÉëéçåëÉ=~åÇ=f=Ü~îÉ=áí=~ää=ÇçÅìãÉåíÉÇ=ÜÉêÉKRS==

Keith RossW= açå~äÇ= xoçëëz= ãÉåíáçåÉÇ= ìë= êÉÅÉáîáåÖ= íÉäÉÖê~ãëK= f= êÉãÉãÄÉê=îáîáÇäóI=ïÉ=Öçí=çåÉ=Ñêçã=aÉåáë=jÉäêçëÉ=ïÜáÅÜ=ë~áÇI=Ú`çåÖê~íìä~íáçåëI=áí=ÅçìäÇåÛí=Ü~îÉ=Ü~ééÉåÉÇ=íç=~=åáÅÉê=ÄìåÅÜ=çÑ=ÅÜ~éëKÛ=

Jane SomervilleW=qÜÉêÉ=ïÉêÉ=~=åìãÄÉê=çÑ=éÉêëçå~ä= áåíÉêíïáåáåÖ= Ñ~ääçìíë=çÑ= íÜáëK=låÉ=çÑ=íÜÉ=íÜáåÖë=íÜ~í=Ü~ééÉåÉÇ=áå=íÜÉ=eÉ~êí=eçëéáí~ä=ï~ë=íÜ~í=ÉîÉêóíÜáåÖ=ï~ë=âÉéí= ëÉÅêÉíI= ~ë= ~= ãÉ~åë= çÑ= íêóáåÖ= íç= ÇÉ~ä= ïáíÜ= íÜÉ= éêÉëëK= tÜÉå= ïÉ= Ü~Ç= çìê=ÅçåÑÉêÉåÅÉë= ~åÇ=ïÜÉå=ïÉ=Ü~Ç= ëçãÉíÜáåÖ= ~Äçìí=cêÉÇ=tÉëíI= íÜÉ= Ñáêëí= íê~åëéä~åíI=ïÉ=âÉéí=áí=~ää=íç=çìêëÉäîÉëI=ÄÉÅ~ìëÉ=íÜ~í=ï~ë=íÜÉ=çêÇÉê=çÑ=íÜÉ=Ç~óK=kçï=óçì=ã~ó=êÉãÉãÄÉê=íÜ~í=açå~äÇ=xiçåÖãçêÉz=Ü~Ç=~äêÉ~Çó=ÄÉÉå=ÇáëÅáéäáåÉÇ=Ñçê=Ü~îáåÖ=ÉîÉå=íÜÉ=íÜçìÖÜí=çÑ=íê~åëéä~åíIRT=Äìí=ïÜÉå=áí=Ü~ééÉåÉÇ=áå=íÜÉ=eÉ~êí=eçëéáí~ä=íÜÉêÉ=ï~ë=~=îÉêó=ëíêçåÖ=ÄçÇó=çÑ=ê~íÜÉê=ëíêçåÖ=éÉçéäÉ=ïÜç=éêçÑçìåÇäó=Çáë~ééêçîÉÇ=çÑ=áíK=pç=íÜÉêÉ=ïÉ=ïÉêÉ=íÜêÉ~ÇáåÖ=çìê=ï~ó=ÄÉíïÉÉå=íÜÉ=éêÉëë=Ó=íÜÉ=éêÉëë=~åÇ=íÜÉ=éêçÑÉëëçêë=áÑ=óçì=äáâÉ=Ó=~åÇ=íÜÉ=ÜáÉê~êÅÜó=çÑ=íÜÉ=eÉ~êí=eçëéáí~äI=íêóáåÖ=íç=âÉÉé=íÜáë=ïêÉíÅÜÉÇ=é~íáÉåí=~äáîÉ=~åÇ=íç=âÉÉé=ÉîÉêóíÜáåÖ=ëÉÅêÉíK=f=ï~ë=~=ëÉåáçê= äÉÅíìêÉêI=ïÜáÅÜ=ãÉ~åë=íÜ~í=f=ï~ë=~=àìåáçê=ÄçÇ=çå=íÜÉ=éêçÑÉëëçêá~ä=ìåáíI=~åÇ=f=ï~ë=íÜêÉ~íÉåÉÇ=ïáíÜ=ÄÉáåÖ=ë~ÅâÉÇ= áÑ= f= ÇáÇåÛí= ë~ó= ïÜ~í= ïÉåí= çå= áå= íÜÉ= íê~åëéä~åíK= f= ÇáÇåÛí= ë~óI= ÄÉÅ~ìëÉ= f=íÜçìÖÜí= áí= ï~ë= ÖêÉ~í= Ñìå= íç= Ü~îÉ= ~= ëÉÅêÉí= ~åóï~óI= óçì= âåçïK= ^Åíì~ääóI=

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27

Early Heart Transplant Surgery in the UK

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JosephW= f=íÜáåâ=áí= áë= Ñ~áê=íç=ë~ó=íÜ~í= áå=ã~åó=ï~óë=Å~êÇá~Å=ëìêÖÉêó=ï~ë=ëíáää= áå=áíë=áåÑ~åÅóK=^é~êí= Ñêçã=ÅçåÖÉåáí~ä=ïçêâ= áí=ï~ë=ã~áåäó= î~äîÉ=ïçêâ=ìé= íç= íÜ~í= íáãÉX=ïÜ~í= g~åÉ= ë~óë= ~Äçìí= íÜÉ= Çáë~ééêçî~ä= çÑ= Å~êÇá~Å= íê~åëéä~åí~íáçå= ï~ë= êÉ~ääó= ~å=ÉñíÉåëáçå= çÑ= ïÜ~í= f= ë~ï= ~í= íÜÉ= íáãÉ= ~ë= ÄÉáåÖ= Çáë~ééêçî~ä= çÑ= Å~êÇá~Å= ëìêÖÉêó= áå=ÖÉåÉê~äK= f= êÉãÉãÄÉê= çåÉ= íáãÉ= îáîáÇäó=ïÜÉå=açå~äÇ=oçëë=ï~ë= ~ï~ó= ~åÇ=j~ÖÇá=v~ÅçìÄRU=ï~ë=íÜÉ=pÉåáçê=oÉÖáëíê~êK=j~ÖÇá=ìëÉÇ=íç=Öç=éêçïäáåÖ=~êçìåÇ=íÜÉ=ãÉÇáÅ~ä=ï~êÇëI=äççâáåÖ=Ñçê=é~íáÉåíë=íç=çéÉê~íÉ=çåK=fí=ëÉÉãë=ëíê~åÖÉ=åçïI=Äìí=f=íÜáåâ=íÜÉêÉ=ïÉêÉ=~å=~ïÑìä=äçí=çÑ=é~íáÉåíë=ïÜç=ãÉêáíÉÇ=Å~êÇá~Å=ëìêÖÉêóI=íÜ~í=íÜÉ=Å~êÇáçäçÖáëíë=çÑ=íÜÉ= Éê~= ïÉêÉ= åçí= ~Åíì~ääó= êÉÑÉêêáåÖK= qÜçëÉ= é~íáÉåíëI= f= êÉÅ~ääI= ÄÉÅ~ãÉ= âåçïå= ~ë=Új~ÖÇáÛë=ãáÇåáÖÜí=pí~êêëÛKRV

TreasureW=qç=éìí=íÜ~í=áå=ÅçåíÉñíI=çåÉ=ëÜçìäÇ=âåçï=íÜ~í=Åçêçå~êó=ëìêÖÉêó=ÇáÇ=åçí=Éñáëí= ~í= íÜÉ= íáãÉK= qÜÉ= îÉêó= Ñáêëí= îÉáå= Öê~Ñíë= ïÉêÉ= NVST= çê= ëçI= íÜÉ= Ñáêëí= áå= íÜáë=Åçìåíêó=ïÉêÉI=f=ëìééçëÉI=NVSVK=_ìí=íÜ~í=Ü~ÇåÛí=~êêáîÉÇI=ëç=áí=ÇáÇåÛí=ÉñáëíK=_ìí=áå=íÜÉ=ë~ãÉ=îçäìãÉ=çÑ=íÜÉ=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=íÜÉêÉÛë=~=îÉêó=áåíÉêÉëíáåÖ=~êíáÅäÉ=Äó=oáÅÜ~êÇ=bã~åìÉäI=ÇÉëÅêáÄáåÖ=Ñçìê=Å~ëÉë=çÑ=î~äîÉ=êÉéä~ÅÉãÉåí=ÉåÅçìê~ÖáåÖ=éÉçéäÉI=ë~óáåÖI= Úiççâ= íÜÉëÉ=éÉçéäÉ= ~êÉ=ÇóáåÖ=çÑ=ÜÉ~êí= Ñ~áäìêÉ=ïáíÜ= î~äîÉ=ÇáëÉ~ëÉI= ~åÇ=ïÉ=Å~å=Ñáñ=íÜÉãI=ãó=ÅçääÉ~ÖìÉë=açå~äÇ=oçëë=~åÇ=j~ÖÇá=xv~ÅçìÄz=ÅçìäÇ=Ñáñ=íÜÉãÛISM=ëç=~í=íÜÉ=íáãÉ=ÜÉ~êí=ëìêÖÉêó=~í=~ää=ï~ë=~=éêÉííó=ÄáÖ=~ÇîÉåíìêÉK=

=================================================RU= mêçÑÉëëçê= páê= j~ÖÇá= v~ÅçìÄ= hí= co`p= cop= EÄK= NVPRF= Ü~ë= ÄÉÉå= _êáíáëÜ= eÉ~êí= cçìåÇ~íáçå=mêçÑÉëëçê=çÑ=`~êÇáçíÜçê~ÅáÅ=pìêÖÉêó=~í=íÜÉ=k~íáçå~ä=eÉ~êí=~åÇ=iìåÖ=fåëíáíìíÉ=~í=oçó~ä=_êçãéíçå=k~íáçå~ä= eÉ~êí= ~åÇ= iìåÖ= eçëéáí~äë= ëáåÅÉ= NVUS= ~åÇ= `çåëìäí~åí= `~êÇáçíÜçê~ÅáÅ= pìêÖÉçå= ~í=e~êÉÑáÉäÇ=eçëéáí~ä= ëáåÅÉ= NVSVK=eÉ=ï~ë= êçí~íáåÖ= pÉåáçê= pìêÖáÅ~ä= oÉÖáëíê~êI=k~íáçå~ä=eÉ~êí= ~åÇ=`ÜÉëí=eçëéáí~äë=Ñêçã=NVSQ=íç=NVSUK=RV=aê=gçëÉéÜ=ïêçíÉW=Ú^ÑíÉê=pí~êê=î~äîÉëKÛ=iÉííÉê=íç=jêë=içáë=oÉóåçäÇëI=ON=j~êÅÜ=NVVVK=bñ~ãéäÉë=çÑ=NO= ëáåÖäÉ= äÉ~ÑäÉí= ÇáëÅ= î~äîÉëI= áåÅäìÇáåÖ= íÜÉ= pí~êêJbÇï~êÇë= jçÇÉä= SROM= ã~åìÑ~ÅíìêÉÇ= ÄÉíïÉÉå=NVTM=~åÇ=NVTSI=~êÉ=çå=ïïïKÅëãÅKÉÇìLÅîëLãÇLî~äîÉL=SM=bã~åìÉä=oK=ENVSUF=qçç=áää=Ñçê=Å~êÇá~Å=ëìêÖÉêó\=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=ááW=QMMÓQMOK=qÜáë=~êíáÅäÉ=áë= ~= íêáÄìíÉ= íç= oçëë= ~åÇ= v~ÅçìÄI= ~åÇ= ÇÉëÅêáÄÉë= Ñçìê= é~íáÉåíë= çìí= çÑ= QSN= î~äîÉ= êÉéä~ÅÉãÉåí=çéÉê~íáçåë=áå=íÜÉ=OO=ãçåíÜë=Ñêçã=NT=aÉÅÉãÄÉê=NVSR=íç=R=lÅíçÄÉê=NVSTK=

=28

Early Heart Transplant Surgery in the UK

JosephW=f=ãìëí=ë~óI=f=íÜáåâ=g~åÉ=éä~óÉÇ=~å=Éåçêãçìë=é~êí=áå=ïÜ~í=çåÉ=ãáÖÜí=Å~ää=éçéìä~êáòáåÖ=Å~êÇá~Å=ëìêÖÉêó=~ãçåÖëí=Å~êÇáçäçÖáëíëK==

Jane SomervilleW= f= ~ã=~= Ñ~áäÉÇ= ëìêÖÉçåI=ÄÉÅ~ìëÉ= íÜ~íÛë=ïÜ~í= f= êÉ~ääó=ïçìäÇ=Ü~îÉ=äáâÉÇ=íç=Ü~îÉ=ÄÉÉåI=åçí=~=íÜáåâáåÖ=éÜóëáÅá~å=xi~ìÖÜíÉêzK=_ìí=f=ïçìäÇ=àìëí=äáâÉ=íç=Öç= Ä~ÅâI= íÜÉêÉÛë= ~= îÉêó= áåíÉêÉëíáåÖ= íÜáåÖ= ïáíÜ= êÉÖ~êÇ= íç= íÜÉ= çééçëáíáçå= çÑ= íÜÉ=ÜáÉê~êÅÜáÅ~ä=éÜóëáÅá~åëK=qÜÉó=ïÉêÉåÛí= ~ää= ~Ö~áåëí= áíI=Äìí=^ä~å=dáäëíçå=ãÉåíáçåÉÇ=ïÜ~í=ïÉ=êÉÑÉêêÉÇ= íç=~ë= íÜÉ= ÚkáÖÜí=çÑ= íÜÉ=máÖëÛK=qÜÉó=ïÉêÉåÛí=èìáíÉ= íê~åëéä~åíÉÇI=íÜÉó=ïÉêÉ=éìí= áå= ëÉêáÉë= íç=ÇÉ~ä=ïáíÜ= íÜÉ= ëíçåÉ=ÜÉ~êíK=råÑçêíìå~íÉäó= íÜÉ=éáÖë=Öçí=çìí=çÑ= íÜÉ=Ä~Ö= íÜ~í=açå~äÇ=içåÖãçêÉ=Ü~ÇI= f= íÜáåâI=~åÇ=ïÉêÉ= ëèìÉ~äáåÖ=~ë= íÜÉó=ïÉêÉ=íêóáåÖ=íç=ÄÉ=Å~ìÖÜí=~åÇ=ïçâÉ=ìé=íÜÉ=j~íêçåI=ïÜç=ï~ë=~å=~ÄëçäìíÉäó=íÉêêáÄäÉ=ïçã~åI=dçÇ=ÄäÉëë=ÜÉê=ëçìä=Ó=~ïÑìäI=Äìí=Ü~åÇJáåJÖäçîÉ=ïáíÜ=íÜÉ=pÉåáçê=mÜóëáÅá~å=~Äçìí=ÉîÉêóíÜáåÖK=qÜÉ=çéÉê~íáçå=ï~ë=åçí=~=ëìÅÅÉëëÑìä=çåÉ=íÜ~í=åáÖÜí=~åÇ=~ÑíÉê=íÜÉ=ÜÉ~êíë=Ü~Ç=ÄÉÉå=ìëÉÇI=f=íÜáåâ=áí=ï~ë=açå~äÇ=xiçåÖãçêÉz=ïÜç=ëÉåí=ÜÉê=íÜÉ=éçêâ=ÅÜçéë= Ñçê=ÜÉê=ÄêÉ~âÑ~ëíK=tÉääI= íÜ~í= êÉ~ääó=éçáëçåÉÇ=ÄçíÜ=çÑ= íÜÉãK=kçí=çåäó=Ü~Ç=ëÜÉ=ÄÉÉå=ïçâÉå=ìé=áå=íÜÉ=jÉïë=ïáíÜ=íÜÉ=ëèìÉ~äëI=Äìí=íÜÉå=ëÜÉ=Ü~Ç=íÜáë=äáííäÉ=éä~íÉ=áå=íÜÉ=ãçêåáåÖI=ëç=ÉîÉêóÄçÇó=ï~ë=êÉéçêíÉÇ=~åÇ=f=íÜáåâ=íÜÉ=~åíáÅë=çÑ=íÜÉ=Å~êÇá~Å=ëìêÖáÅ~ä= íÉ~ã= ~åÇ= íÜçëÉ= ïÜç= ëìééçêíÉÇ= íÜÉãI= èìáÅâäó= ÑçääçïÉÇ= Äó= êÉ~ä=íê~åëéä~åí~íáçåI=ÇáÇ=åçí=ÉåÇÉ~ê=~åó=çÑ=ìë=íç=íÜÉ=íïç=çÑ=íÜÉãK=

LessofW= f= ï~ë= ÖçáåÖ= íç= ë~ó= íÜ~í= f= ~ã= ëçêêó= íÜ~í= oáÅÜ~êÇ= _~íÅÜÉäçê= áëåÛí= ÜÉêÉI=ÄÉÅ~ìëÉ=íÜáë=é~êí=çÑ=íÜÉ=ëíçêóI=çê=~í=äÉ~ëí=íÜÉ=é~êíá~ä=Ñ~áäìêÉ=çÑ=íÜÉ=íê~åëéä~åí=áë=íÜÉ=ëíçêó= çÑ= íÜÉ= áããìåçäçÖó= ëáÇÉKSN=lÑ= ÅçìêëÉ= íÜÉ= ÇêìÖë= ïÉêÉåÛí= îÉêó= ÖççÇI= Äìí= áí=ï~ëåÛí=íÜÉ=ÇêìÖ=Ñ~áäìêÉ=êÉ~ääóI=áí=ï~ë=íÜÉ=Ñ~áäìêÉ=çÑ=íÜÉ=íÉëíë=Ñçê=êÉàÉÅíáçåK=tÉ=íêáÉÇ=~ää= âáåÇë= çÑ= íÜáåÖë= ~åÇ=ïÉåí= Äó= íÜÉãI= ÄÉÅ~ìëÉ= íÜÉó=ïÉêÉ= íÜÉ= ÄÉëí=ïÉ= Ü~ÇK=_ìí=éÉçéäÉ= Ü~îÉ= ëéçâÉå= çÑ= íÜÉáê= ãçãÉåí= çÑ= ÜçêêçêK=jó=ãçãÉåí= çÑ= Üçêêçê= ~í= íÜÉ=dìóÛë=Å~ëÉ=ï~ë=~í=íÜÉ=éçëí=ãçêíÉã=ïÜÉêÉ=íÜÉ=äìåÖë=Ü~Ç=Å~ååçåÄ~ääë=çÑ=^ëéÉêÖáääìë=áå= íÜÉãI=ïÜáÅÜ= f=Ü~Ç=åÉîÉê= ëÉÉå=ÄÉÑçêÉ=çê= ëáåÅÉ=~åÇ=ïÉêÉ=ÅäÉ~êäó= êÉä~íÉÇ= íç=çìê=ÇêìÖ=íÜÉê~éóK=qÜÉ=ëìêÖáÅ~ä=ëáÇÉ=~ééÉ~êÉÇ=íç=ÄÉ=~ÄëçäìíÉäó=éÉêÑÉÅíK=

LongmoreW=^äíÜçìÖÜ=ïÉ=~êÉ=åçí=~ääçïÉÇ=íç=ÄÉ=äáÖÜíÜÉ~êíÉÇ=ÜÉêÉI=f=àìëí=êÉéçêí=íÜ~í=íÜÉ=íïç=éáÖë=ïÉêÉ=ÇÉäáîÉêÉÇ=áåíç=íÜÉ=íïç=ãÉïë=~í=íÜÉ=Ä~Åâ=çÑ=íÜÉ=Üçëéáí~ä=~åÇ=f=ï~ë=Éñ~ãáåáåÖ=çåÉ=íç=ëÉÉ=áÑ=áí=ï~ë=ëìáí~ÄäÉ=~åÇ=qÜçãéëçåI=íÜÉ=ÜÉ~Ç=éçêíÉêI=Å~ãÉ=áå= ~åÇ= ë~áÇI= Újê= içåÖãçêÉI= áë= íÜ~í= éáÖ= áå= ~= i~åÇJoçîÉê= áå= íÜÉ= çíÜÉê= jÉïë=~åóíÜáåÖ=íç=Çç=ïáíÜ=óçì\Û=~åÇ=f=ë~áÇI=ÚvÉë=áí=áëKÛ=eÉ=ë~áÇI=ÚtÉää=áí=Ü~ë=àìëí=Öçí=çìí=~åÇ= íìêåÉÇ= äÉÑí= ~äçåÖ=kÉï=`~îÉåÇáëÜ= píêÉÉíÛ= ~åÇ= ëç= áå= íÜÉ~íêÉ= Å~éI=ã~ëâ= ~åÇ===

=================================================SN=mêçÑÉëëçê=g=oáÅÜ~êÇ=_~íÅÜÉäçê=co`m~íÜ=co`m=EÄK=NVPNF=ï~ë=mêçÑÉëëçê=çÑ=fããìåçäçÖó=~í=íÜÉ=oçó~ä= mçëíÖê~Çì~íÉ= jÉÇáÅ~ä= pÅÜççäI= e~ããÉêëãáíÜ= eçëéáí~äI= Ñêçã= NVTV= íç= NVVQX= åçï==bãÉêáíìëK=pÉÉ=_~íÅÜÉäçê=oI=`ä~êâ=qI=iÉëëçÑ=j=eK= ENVTMF=iìåÖ= íê~åëéä~åí~íáçåK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áîW=PMSK=

29

Early Heart Transplant Surgery in the UK

ÄççíëI=f=ëÉí=çÑÑ=~ÑíÉê=áíI=~åÇ=Å~ìÖÜí=áí=~Äçìí=Ü~äÑJï~ó=ìé=táãéçäÉ=píêÉÉí=~åÇ=ï~ë=ÇêáîáåÖ= áí= Ä~Åâ= ÜçäÇáåÖ= áíë=ïáÖÖäó= í~áä= ~åÇ= âáÅâáåÖ= áí= ~åÇ= áí=ï~ë= NTKMMI= ~ë=^ä~å=dáäëíçå= ~åÇ= bìåáÅÉ= ïáää= êÉãÉãÄÉêI= ~åÇ= ÉîÉêóÄçÇó= éêÉíÉåÇÉÇ= áí= ï~ëåÛí=Ü~ééÉåáåÖI=ÉñÅÉéí=çåÉ=ÑÉääçï=ïÜç=ê~áëÉÇ=Üáë=ÄçïäÉê=Ü~í=~åÇ=ë~áÇI=ÚbñÅìëÉ=ãÉ=ëáêI=óçì= ~êÉ= ÖçáåÖ= íÜÉ= ïêçåÖ= ï~ó= ~äçåÖ= ~= çåÉJï~ó= ëíêÉÉíKÛ= f= Ü~Ç= íÜçìÖÜí= íÜáë= ï~ë=ëÅêÉ~ãáåÖäó= Ñìååó=ìåíáä= íÜÉ= g~ãÉë=_ìäÖÉê= Å~ëÉI=ïÜÉå= íÜ~í=éççê=ÅÜáäÇ=ï~ë=ÄÉáåÖ=Çê~ÖÖÉÇ= êçìåÇ= ~= Åáíó= Äó= íïç= äáííäÉ= íÜìÖë= ÄÉáåÖ= ëóëíÉã~íáÅ~ääó= ãìêÇÉêÉÇ= ~åÇ=ÉîÉêóÄçÇó= ÅêçëëÉÇ= íÜÉ= ëíêÉÉí= ~åÇ= éêÉíÉåÇÉÇ= áí= ï~ëåÛí= Ü~ééÉåáåÖKSO= fíÛë= ~= ë~Ç=ÅÜ~ê~ÅíÉêáëíáÅ=íÜ~í=éÉçéäÉ=ÇçåÛí=~Åíì~ääó=í~âÉ=~åó=åçíáÅÉ=çÑ=Äáò~êêÉ=íÜáåÖëK=

Dr Arthur HollmanWSP=f=ï~ë=~=Äáí=ëìêéêáëÉÇ=~í=íÜÉ=ÅçããÉåíë=íÜ~í=Å~êÇá~Å=ëìêÖÉêó=ï~ëåÛí=éçéìä~ê=áå=NVSU=ïÜÉå=f=êÉãÉãÄÉê=íÜ~í=oìëëÉää=_êçÅâSQ=ÇáÇ=íÜÉ=Ñáêëí=ãáíê~ä=î~äîçíçãó=~í=dìóÛë=áå=NVQUK=f=ï~ë=çå=íÜÉ=e~ããÉêëãáíÜ=íÉ~ã=áå=NVRT=~åÇ=jê=`äÉä~åÇ=ÇáÇ=íÜÉ=Ñáêëí=çéÉê~íáçå=Ñçê=ÜóéÉêíêçéÜáÅ=Å~êÇáçãóçé~íÜó=áå=NVSMI=~=óÉ~ê=~ÑíÉê=ïÉ=Ü~Ç=ÄÉÉå=íç=jçëÅçï=íç=ÇÉãçåëíê~íÉ=íÜÉ=jÉäêçëÉ=ÜÉ~êíÓäìåÖ=ã~ÅÜáåÉKSR=qÜÉå=f=êÉãÉãÄÉê=íÜ~í=ïçåÇÉêÑìä=ëÉêáÉë=çÑ=é~íáÉåíë=ÇçåÉ=~í=íÜÉ=jáÇÇäÉëÉñ=Äó=páê=qÜçã~ë= eçäãÉë= pÉääçêëSS= ïáíÜ= íÜÉ= ëìééçêí= çÑ= íÜÉ= Å~êÇáçäçÖáëíëI= bî~å= _ÉÇÑçêÇ==~åÇ=t~äíÉê=pçãÉêîáääÉI=~êçìåÇ=NVSMI=~åÇ=f= íÜáåâ=çîÉê=NMM=ÅçåëÉÅìíáîÉ=é~íáÉåíë=ïáíÜçìí= ~= ëáåÖäÉ= ÇÉ~íÜK= f= ÇçåÛí= ìåÇÉêëí~åÇ=éÉçéäÉÛë= ÅçããÉåíë= íÜ~í= íÜÉêÉ=ï~ë= ~=

=================================================SO= g~ãÉë= _ìäÖÉêI= ~ÖÉÇ= OI=ï~ë= ~ÄÇìÅíÉÇ= Ñêçã= ~= ëÜçééáåÖ= éêÉÅáåÅí= ~åÇ=ãìêÇÉêÉÇ= çå= ~å= áëçä~íÉÇ=ê~áäï~ó=äáåÉ=áå=t~äíçåI=iáîÉêéççäI=çå=NO=cÉÄêì~êó=NVVP=Äó=íïç=íÉå=óÉ~ê=çäÇëI=oçÄÉêí=qÜçãéëçå=~åÇ=gçå=sÉå~ÄäÉëK=pÉÉ=jçêêáëçå=_K=ENVVTF=^ë=fÑK=içåÇçåW=dê~åí~K=SP=aê=^êíÜìê=eçääã~å=co`m= EÄK=NVOPF=ï~ë= ~= Å~êÇáçäçÖáëí= ~í=e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=ïÜÉå= íÜÉ= Ñáêëí= çéÉå= ÜÉ~êí= çéÉê~íáçåë= ïÉêÉ= ÇçåÉ= áå= NVRTK= pìÄëÉèìÉåíäó= ÜÉ=ï~ë= çå= íÜÉ= ëí~ÑÑ= çÑ=dêÉ~í=lêãçåÇ=píêÉÉí=eçëéáí~ä=Ñçê=`ÜáäÇêÉåI=içåÇçåI=~åÇ=råáîÉêëáíó=`çääÉÖÉ=eçëéáí~äI=içåÇçåK=aê=eçääã~å=áë=íÜÉ=çÑÑáÅá~ä=~êÅÜáîáëí=çÑ=íÜÉ=_êáíáëÜ=`~êÇá~Å=pçÅáÉíóK=SQ=jê=oìëëÉää=`ä~ìÇÉ=_êçÅâ= EiçêÇ=_êçÅâ=çÑ=táãÄäÉÇçå= Ñêçã=NVSRF= ENVMPÓNVUMF=ï~ë= íÜçê~ÅáÅ=ëìêÖÉçå=~í=ÄçíÜ=dìóÛë=~åÇ=íÜÉ=_êçãéíçå=eçëéáí~äë=Ñêçã=NVPS=íç=NVSUK=eÉ=éÉêÑçêãÉÇ=î~äîçíçãó=Ñçê=éìäãçå~êó=ëíÉåçëáë=áå=NVQU=~åÇ=íÜÉ=Ñáêëí=ãáíê~ä=ÅçããáëëìêçíçãáÉë=áå=íÜÉ=ë~ãÉ=óÉ~êK=eÉ=ÉÇáíÉÇ=dìóÛë=eçëéáí~ä=oÉéçêíë= Ñêçã=NVPV=íç=NVSMK=pÉÉ=_êçÅâ=oK=ENVUNF=mÉêëçå~ä=ãÉãçêáÉë=çÑ= íÜÉ=É~êäó=Ç~óë=çÑ=Å~êÇá~Å=î~äîÉ=ëìêÖÉêóK=få=påÉääÉå=e=^I=aìååáåÖ=^=gI=^êåíòÉåáìë=^=`K=EÉÇëF=ENVUNF=eáëíçêó=~åÇ=mÉêëéÉÅíáîÉë=çÑ=`~êÇáçäçÖóW=`~íÜÉíÉêáò~íáçåI=~åÖáçÖê~éÜóI=ëìêÖÉêó=~åÇ=ÅçåÅÉéíë=çÑ=ÅáêÅìä~ê=ÅçåíêçäK=qÜÉ=e~ÖìÉW=iÉáÇÉå=råáîÉêëáíó=mêÉëëI=NSRÓNTOK=SR= aê= aÉåáë= jÉäêçëÉ= ï~ë= ~ëëáëí~åí= äÉÅíìêÉê= áå= íÜÉ= aÉé~êíãÉåí= çÑ= pìêÖÉêó= ~í= íÜÉ= mçëíÖê~Çì~íÉ=jÉÇáÅ~ä=pÅÜççäI=içåÇçåI=~åÇ=pìêÖáÅ~ä=oÉÖáëíê~ê=~í= íÜÉ=e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=~í= íÜÉ=íáãÉK=jÉäêçëÉ=a=dK=ENVRPF=jÉÅÜ~åáÅ~ä=ÜÉ~êíÓäìåÖ=Ñçê=ìëÉ=áå=ã~å=EïáíÜ=ÑçêÉïçêÇ=Äó=f~å=^áêÇFK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=ááW=RTÓSOK=cçê=ÇÉí~áäë=çÑ=áíë=~ééäáÅ~íáçå=ëÉÉ=~äëç=jÉäêçëÉ=a=dI=_~ëëÉíí=g=tI=_É~ÅçåëÑáÉäÇ= mI= dê~ÄÉê= f= dI= pÜ~Åâã~å= oK= ENVRPF= bñéÉêáãÉåí~ä= éÜóëáçäçÖó= çÑ= ~= ÜÉ~êíÓäìåÖ=ã~ÅÜáåÉ=áå=é~ê~ääÉä=ïáíÜ=åçêã~ä=ÅáêÅìä~íáçåK=áÄáÇK=SOJSSK=pÉÉ=ÄáçÖê~éÜáÅ~ä=åçíÉ=çå=t=m=`äÉä~åÇI=çéK=ÅáíK=åçíÉ=UR=ÄÉäçïK=pÉÉ=`äÉä~åÇ=t=mI=_Éåí~ää=e=eI=jÉäêçëÉ=a=dI=dççÇïáå=g=cI=l~âäÉó=`=jI=eçääã~å=^K=ENVSUF=^=ÇÉÅ~ÇÉ=çÑ=çéÉå=ÜÉ~êí=ëìêÖÉêóK=i~åÅÉí=áW=NVNÓNVUK=SS=páê=hÉáíÜ=oçëë=ïêçíÉW=Úf=ï~ë=råÅäÉ=qçãÛë=oÉÖáëíê~ê=áå=NVRT=~åÇ=pÉåáçê=oÉÖáëíê~ê=Ñêçã=NVSN=íç=NVST= ~åÇ= Üáë= çéÉå= ÜÉ~êí= ëìêÖÉêó= ìëáåÖ= PMø`= ÜóéçíÜÉêãá~= ï~ë= ìåáîÉêë~ääó= êÉëéÉÅíÉÇ= ~åÇ==~ÇãáêÉÇ= ~í= íÜ~í= íáãÉ= ~åÇ= ëáåÅÉKÛ= iÉííÉê= íç= jêë= içáë= oÉóåçäÇëI= OO= j~êÅÜ= NVVVK= pÉÉ==ÄáçÖê~éÜáÅ~ä=åçíÉI=çéK=ÅáíK=åçíÉ=NM=~ÄçîÉK=pÉÉ=~äëç=pÉääçêë=q=eK=ENVSUF=qê~åëéä~åí~íáçå=çÑ=çêÖ~åëK=sÉíÉêáå~êó=oÉÅçêÇ=UPW=RPMÓRPTK==

=30

Early Heart Transplant Surgery in the UK

ÑÉÉäáåÖ= ~Ö~áåëí= Å~êÇá~Å= ëìêÖÉêó= áå= NVSUK= j~óÄÉI= áÑ= f= Ç~êÉ= ë~ó= áí= ~ë= ~å==ÉñJe~ããÉêëãáíÜ= Å~êÇáçäçÖáëíI= íÜÉêÉ= ïÉêÉ= çåÉ= çê= íïç= ~í= íÜÉ= k~íáçå~ä= eÉ~êí=eçëéáí~ä= ïÜç= ïÉêÉ= ~Ö~áåëí= áíK= fí= ÅÉêí~áåäó= ï~ëåÛí= íÜÉ= Å~ëÉ= ÉäëÉïÜÉêÉ= áå= íÜÉ==råáíÉÇ= háåÖÇçãI= Ñçê= Éñ~ãéäÉI= jê= dÉçÑÑêÉó= tççäÉêÛë= îÉêó= ÖççÇ= ãáíê~ä= î~äîÉ=êÉé~áêë=áå=iÉÉÇëKST

Jane SomervilleW= f=ïçìäÇ=àìëí= äáâÉ=íç=ë~ó=íÜ~í=åçÄçÇó=ë~áÇ=íÜÉó=ïÉêÉ=~åíáÅ~êÇá~Å=ëìêÖÉêóI= ^êíÜìêK= qÜÉó= ïÉêÉ= í~âÉå= ~Ä~ÅâK= tÉ= Å~ãÉ= Ñêçã= ~= ê~íÜÉê= ÜáÉê~êÅÜáÅ~ä=Üçëéáí~äI=ïáíÜ=~=pÉåáçê=mÜóëáÅá~å=Ñêçã=pí=_~êíÜçäçãÉïÛë=ïÜç=Ü~ÇåÛí=ÅÜ~åÖÉÇ=áå=óÉ~êëI=~åÇ=ï~ë=`Ü~áêã~å=çÑ=ÉîÉêóíÜáåÖI=ÇáÇåÛí=äáâÉ=ïçãÉåI=ÇáÇåÛí=ï~åí=íÜÉã=äÉí=áå=íÜÉ=ÇççêëK=pç=óçì=Å~å=ëÉÉ=ïÜÉêÉ=ïÉ=ïÉêÉ=áå=íÜÉ=ä~íÉ=NVSMëI=áí=ï~ë=~=ÜáÉê~êÅÜáÅ~ä=Üçëéáí~äI=ïáíÜ=~=éçïÉêÑìä=Öêçìé=çÑ=éÜóëáÅá~åëI=~åÇ=íÜÉó=ïÉêÉ=~=Äáí=í~âÉå=~Ä~Åâ=Äó=íÜÉ= êìãÄìëíáçìë= ÉåíÜìëá~ëã=çÑ= Å~êÇá~Å= ëìêÖÉçåë= íÜ~íI=ÇÉëéáíÉ= íÜÉáê=éçãéçëáíáÉëI=äáÑÉ=ïÉåí=çå=~åÇ=íÜáåÖë=Ü~ééÉåÉÇX=f=íÜáåâ=íÜÉó=ïÉêÉ=åçí=~Ö~áåëí=áíI=íÜÉó=ïÉêÉ=àìëí=~éé~ääÉÇ=~í=ÖÉåÉê~ä=ã~ååÉêë=~åÇ=ïÜ~í=ïÉåí=çåK=cáêëí=çÑ=~ääI=ã~åó=çÑ=íÜÉã=Ü~Ç=åç=áã~Öáå~íáçåI=ëç=íÜ~í=ï~ë=îÉêó=ÇáÑÑáÅìäí=íç=ÄÉ=ÅçåÑêçåíÉÇ=Äó=íÜáë=é~êíáÅìä~ê=Öêçìé=çÑ=Å~êÇá~Å=ëìêÖÉçåëK=qÜÉó=ïÉêÉ=éÉêÑÉÅíäó=~ää=êáÖÜí=ïÜÉå=råÅäÉ=qçã=ï~ë=íÜÉêÉI= ÚvÉë=áåÇÉÉÇÛI=~åÇ=ÇçáåÖ=ÉîÉêóíÜáåÖ=îÉêó=éçäáíÉäóI=Äìí=ïÜÉå=íÜáë=Ö~åÖ=~êêáîÉÇ=íÜáåÖë=Öçí=~=äáííäÉ=ÇáÑÑÉêÉåíK=

TreasureW= tÉääI= f= íÜáåâ= ^êíÜìêÛë= éçáåí= áë= ïÉää= í~âÉåI= ïÉ= ãìëí= âÉÉé= áí= áå=éÉêëéÉÅíáîÉI=Äìí=íÜÉêÉ=~êÉ=ëÉîÉê~ä=éÉçéäÉ=ÜÉêÉ=ïÜç=ïÉêÉ=ÜçìëÉãÉåI=êÉÖáëíê~êëI=~åÇ=íÜÉ=äáâÉ=áå=NVSUI=NVSV=~åÇ=NVTMI=~åÇ=áí=ï~ëåÛí=Éñ~Åíäó=~=Å~âÉ=ï~äâ=ÇçáåÖ=Å~êÇá~Å=ëìêÖÉêó=~í=íÜÉ=íáãÉI=f=íÜáåâ=íÜ~í=ï~ë=íÜÉ=ëéáêáí=çÑ=áíK=

JosephW= f= åçíáÅÉÇ= ~= ÇáÑÑÉêÉåÅÉ= ÄÉíïÉÉå= NVSU= çê= NVSV=ïÜÉå= f= äÉÑíI= ~åÇ=ïÜÉå= f=Å~ãÉ=Ä~Åâ=~ë=~=oÉÖáëíê~ê=áå=NVTNI=f=íÜáåâI=ïÜÉå=Åçêçå~êó=ëìêÖÉêó=Ü~Ç=Öçí=çÑÑ=íÜÉ=ÖêçìåÇK=qÜÉêÉ=ï~ë=~å=Éåçêãçìë=ÇáÑÑÉêÉåÅÉ=áå=~ííáíìÇÉ=áå=íÜçëÉ=ÑÉï=óÉ~êëK=f=íÜáåâ=íÜÉêÉ= ï~ë= ÅÉêí~áåäó= ~= ÄìåÅÜ= çÑ= ëÉåáçê= Å~êÇáçäçÖáëíë= áå= íÜÉ= ä~íÉ= NVSMëI= ïÜç= àìëí=ÇáÇåÛí=êÉÑÉê=Å~ëÉë=íÜ~í=ëÜçìäÇ=Ü~îÉ=ÄÉÉå=êÉÑÉêêÉÇK==

TreasureW=f=íÜáåâ=áÑ=~åóÄçÇó=ï~åíë=íç=Å~ëí=íÜÉáê=ãáåÇë=Ä~ÅâI=äççâ=çìí=íÜÉ=NVSU=Åçéó=çÑ=íÜÉ=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~äI=ÄÉÅ~ìëÉ=áíÛë=~å=~ííÉãéí=íç=êÉãáåÇ=íÜÉ=éìÄäáÅ=çÑ=ïÜÉêÉ=ÜÉ~êí=ëìêÖÉêó=ëíççÇ=~í=íÜÉ=íáãÉK=oáÅÜ~êÇ=bã~åìÉä=ÑÉäí=íÜÉ=åÉÉÇ=íç=ïêáíÉ=íÜ~í= é~éÉê= ~Äçìí= Ñçìê= î~äîÉ= çéÉê~íáçåëKSU= pç= íÜ~í= áí= ï~ëåÛí= çÄîáçìëäó= áå= íÜÉ==ãáåÇ=çÑ=ÉîÉêó=dmK=

=================================================ST= pçãÉêîáääÉ=tK= ENVSVF= mêçÄäÉãë= áå= Å~êÇá~Å= íê~åëéä~åí~íáçå= Ñêçã= íÜÉ= Å~êÇáçäçÖáëíÛë= îáÉïéçáåíK=mêçÖêÉëë=áå=`~êÇáçî~ëÅìä~ê=aáëÉ~ëÉë=NOW=NTQÓNUVK=açååÉääó=o=gI=pãáíÜ=a=oI=fçåÉëÅì=j=fI=tççäÉê=d=eK=ENVTOF=jáíê~ä=î~äîÉ=êÉé~áêW=oÉëìäíë=~í=R=~åÇ=NM=óÉ~êëK=_êáíáëÜ=eÉ~êí=gçìêå~ä=PQW=OMTK=SU=çéK=ÅáíK=åçíÉ=SM=~ÄçîÉK=

31

Early Heart Transplant Surgery in the UK

LongmoreW=fÑ=f=ã~ó=ë~óI=íÜÉêÉ=ïÉêÉ=íïç=éçáåíëK=cáêëí=çÑ=~ää=íÜÉ=jáÇÇäÉëÉñK=f=ï~ë=råÅäÉ= qçãÛë= oÉÖáëíê~ê= çê= oÉëÉ~êÅÜ= cÉääçï= çê= ëçãÉíÜáåÖ= ïÜÉå= ïÉ= ÇáÇ= íÜÉ=ÜìåÇêÉÇ=Å~ëÉë=ïáíÜçìí=~=ÇÉ~íÜI=~åÇ=~äíÜçìÖÜ=t~äíÉê=pçãÉêîáääÉ=~åÇ=çåÉ=çê=íïç=éÜóëáÅá~åë= ïÉêÉ= îÉêó= ëìééçêíáîÉI= íÜÉ= ÖÉåÉê~ä= ~íãçëéÜÉêÉ= ï~ë= íÜ~í= ïÉ= ïÉêÉ= ~=ÄìåÅÜ=çÑ=êÉåÉÖ~ÇÉëK=pÉÅçåÇäóI=~åÇ=ïçêëÉI=f=ëÜçïÉÇ=~=ÑáäãI=ïÜáÅÜ=f=ëíáää=Ü~îÉI=çÑ=~å=ÉñéÉêáãÉåí~ä=ÇçÖ=ÜÉ~êí=íê~åëéä~åí=áå=NVSQ=çê=NVSR=~åÇ=ïÜáäÉ=f=ï~ë=ëÜçïáåÖ=áí=íç=íÜÉ=`Ü~áêã~å=çÑ=íÜÉ=jÉÇáÅ~ä=`çããáííÉÉ=ãÉåíáçåÉÇ=Äó=g~åÉI=g~åÉ=äÉ~åí=~Åêçëë=íç=Üáë=ÅçääÉ~ÖìÉ=~åÇ=áå=~=äçìÇ=ëí~ÖÉ=ïÜáëéÉê=ë~áÇI=ÚqÜÉ=ã~åÛë=~=äá~êI=áí=áëåÛí=íêìÉÛI=~åÇ=óÉí=íÜÉêÉ=áë=íÜÉ=Ñáäã=çÑ=íÜÉ=íÜáåÖ=ÖçáåÖ=áåI=~åÇ=íÜ~í=ï~ë=çåÉ=çÑ=çìê=ÄÉííÉê=ÇçÖë=ïÜáÅÜ=ëí~ÖÖÉêÉÇ=êçìåÇ=~åÇ=Äáí=`Ü~êäáÉI=íÜÉ=íÉÅÜåáÅá~åI=ÄÉÑçêÉ=áí=ÉîÉåíì~ääó=ÇáÉÇK=

Keith RossW=gìëí=çåÉ=èìáÅâ=ÅçããÉåí=áÑ=f=ã~óI=ÖçáåÖ=Ä~Åâ=íç=íÜÉ=éçëíJçéÉê~íáîÉ=éÜ~ëÉ\=^ë=~=ëìêÖÉçå=~åÇ=àìåáçê=ãÉãÄÉê=çÑ=íÜÉ=íÉ~ã=áå=ã~åó=ï~óëI=íÜÉ=íÜáåÖ=íÜ~í=êÉ~ääó=f=ÑçìåÇ=ÅçãéäÉíÉäó=ÑçêÉáÖå=íç=~åó=ÉñéÉêáÉåÅÉ=f=Ü~Ç=Ü~Ç=áå=ëìêÖÉêó=ìé=ìåíáä=íÜ~í= éçáåí= ï~ë= êÉ~ääó= ã~âáåÖ= åç= ÉÑÑÉÅíáîÉ= ÅçåíêáÄìíáçå= áå= íÜÉ= éçëíJçéÉê~íáîÉ=ã~å~ÖÉãÉåíK=f=ëíáää=êÉãÉãÄÉê=íÜÉ=ÑÉÉäáåÖ=çÑ=ÜÉäéäÉëëåÉëë=ÅçãÄáåÉÇ=ïáíÜ=íÜÉ=êÉ~ääó=Éñíê~çêÇáå~êó=çêÇÉ~ä=çÑ= íÜÉëÉ= äçåÖ=Çê~ïåJçìí= ÅçåÑÉêÉåÅÉë=çå=~=Ç~áäóI= ëçãÉíáãÉë=íïáÅÉJÇ~áäó=Ä~ëáëI=ïÜÉå=ïÉ=ïÉêÉ=~ää=ÖêçéáåÖ=ïáíÜ=ïÜ~í=íç=Çç=ÄÉëí=Ñçê=íÜáë=é~íáÉåíI=é~êíáÅìä~êäó= áå= êÉÖ~êÇ= íç= áããìåçëìééêÉëëáçåI= áå= ëéáíÉ= çÑ= Ü~îáåÖ= íÜÉ=ÜÉäé= çÑ=aê=g~ãÉë=jçïÄê~óK==

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Inquest on Heart Donor

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=32

Early Heart Transplant Surgery in the UK

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33

Early Heart Transplant Surgery in the UK

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=34

Early Heart Transplant Surgery in the UK

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=================================================TP= páê=dÉçêÖÉ=dçÇÄÉê=d`_=h`_=`_=co`m= EÄK=NVMUF= àçáåÉÇ= íÜÉ=jáåáëíêó=çÑ=eÉ~äíÜ= áå=NVPVI=íççâ= é~êí= áå= áíë= NVQQ= ëìêîÉó= çÑ= Üçëéáí~äë= ~åÇ= ï~ë= ~ÅíáîÉ= áå= íÜÉ= áåíêçÇìÅíáçå= çÑ= íÜÉ=kepK=eÉ==ï~ë= ~ééçáåíÉÇ= aÉéìíó= íç= páê= gçÜå= `Ü~êäÉëI= íÜÉ= `ÜáÉÑ= jÉÇáÅ~ä= lÑÑáÅÉêI= ~åÇ= ëìÅÅÉÉÇÉÇ= Üáã==áå= NVSMI= ëÉêîáåÖ= íÜÉ= åÉï= ëìéÉê=ãáåáëíêáÉë= çÑ= íÜÉ=aeppI=abp= ~åÇ= íÜÉ=eçãÉ=lÑÑáÅÉI= ìåíáä= Üáë=êÉíáêÉãÉåí=áå=NVTPK=TQ= iÉííÉê= Ñêçã= páê= dÉçêÖÉ= dçÇÄÉê= íç= aê= qáääá= q~åëÉóI= ON= j~êÅÜ= NVVTK= cçê= íÜÉ= íÉñí= çÑ= íÜÉ==aÉé~êíãÉåí= çÑ=eÉ~äíÜ= äÉííÉêI= ëÉÉ=^åçåK= ENVTPF=jÉÇáÅ~ä=kÉïëW=`~êÇá~Å= íê~åëéä~åí~íáçåK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áW=QPNK=TR=aê=dÉçÑÑêÉó=oáîÉíí=EÄK=NVPOF=ïçêâÉÇ=áå=íÜÉ=aÉé~êíãÉåí=çÑ=eÉ~äíÜ=Ñçê=OM=óÉ~êëI=é~êíáÅìä~êäó=çå=içåÇçå=áëëìÉëK=eÉ=áë=~äëç=~=ãÉÇáÅ~ä=Üáëíçêá~åI=ïÜçëÉ=ïçêâ= áåÅäìÇÉëW= ENVUSF=qÜÉ=aÉîÉäçéãÉåí=çÑ=íÜÉ= içåÇçå=eçëéáí~ä= póëíÉãI= NUOPÓNVUOK= içåÇçåW= háåÖÛë= cìåÇK= ENVVUF=cêçã=`ê~ÇäÉ= íç= dê~îÉW=cáÑíó=óÉ~êë=çÑ=íÜÉ=kepK=içåÇçåW=háåÖÛë=cìåÇK==

35

Early Heart Transplant Surgery in the UK

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=================================================TS=mçïÉää=bK=ENVSNF=qÜÉ=ÉäÉéÜ~åí=~åÇ=íÜÉ=ïÜ~äÉW=qÜÉ=táåÅÜÉëíÉê=~ÇÇêÉëëK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áW=NQTVÓNQUPI=èìçíÉ=çå=é~ÖÉ=NQUMK=mçïÉää=ï~ë=íÜÉå=jáåáëíÉê=çÑ=eÉ~äíÜK=TT=páê=qÉêÉåÅÉ=båÖäáëÜ=h_b=co`p=co`m=EÄK=NVPOF=Ü~ë=ÄÉÉå=j~ëíÉê=çÑ=pí=`~íÜ~êáåÉÛë=`çääÉÖÉI=`~ãÄêáÇÖÉ= ëáåÅÉ=NVVPK=eÉ=ï~ë=pÉåáçê=oÉÖáëíê~ê=~í= íÜÉ=_êçãéíçå=eçëéáí~äI=içåÇçå=`ÜÉëí=~åÇ=íÜÉ= k~íáçå~ä= eÉ~êí= eçëéáí~äI= içåÇçåI= Ñêçã= NVSU= íç= NVTO= ~åÇ= `çåëìäí~åí= `~êÇáçíÜçê~ÅáÅ=pìêÖÉçå= ~í= íÜÉ= m~éïçêíÜ= ~åÇ= ^ÇÇÉåÄêççâÉÛë= eçëéáí~äëI= `~ãÄêáÇÖÉI= Ñêçã= NVTO= íç= NVVRK= eÉ=ëí~êíÉÇ=íÜÉ=Ñáêëí=ëìÅÅÉëëÑìä=ÜÉ~êí=íê~åëéä~åí=éêçÖê~ããÉ=áå=íÜÉ=rh=áå=g~åì~êó=NVTVK=eÉ=Ü~ë=ÄÉÉå=mêÉëáÇÉåí=çÑ=íÜÉ=fåíÉêå~íáçå~ä=pçÅáÉíó=çÑ=eÉ~êí=qê~åëéä~åí~íáçå=Ñêçã=NVUQ=íç=NVURX=mêÉëáÇÉåí=çÑ=íÜÉ= oçó~ä= `çääÉÖÉ= çÑ= pìêÖÉçåë= Ñêçã= NVUV= íç= NVVOI= ~åÇ= mêÉëáÇÉåí= çÑ= íÜÉ= _êáíáëÜ= jÉÇáÅ~ä=^ëëçÅá~íáçå=Ñêçã=NVVR=íç=NVVSK=

=36

Early Heart Transplant Surgery in the UK

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=================================================TU= jê= mÜáäáé= hÉååÉÇó= `~îÉë= EÄK= NVQNF= ï~ë= oÉëÉ~êÅÜ= cÉääçï= ~åÇ= íÜÉå= `äáåáÅ~ä= oÉëáÇÉåí= ~í=pí~åÑçêÇ= råáîÉêëáíó= Ñêçã= NVTN= íç= NVTP= ~åÇI= ~äçåÖ= ïáíÜ= j~êÖ~êÉí= _áääáåÖÜ~ãI= ÚáåíêçÇìÅÉÇ=éêçÄ~Ääó= íÜÉ=ãçëí= áãéçêí~åí= ëáåÖäÉ=Çá~ÖåçëíáÅ= íççä= Ñçê= íÜÉ=ãçåáíçêáåÖ=çÑ= Å~êÇá~Å= êÉàÉÅíáçåI= íÜÉ=ÉåÇçãóçÅ~êÇá~ä= ÄáçéëóKÛ=açåÖ= bI= pÜìãï~ó=k= bI= içïÉê=o=oK= ENVVNF= ^= ÜÉ~êí= íê~åëéä~åí~íáçå=å~êê~íáîÉW=qÜÉ=É~êäáÉëí=óÉ~êëK=çéK=ÅáíK=åçíÉ=S=~ÄçîÉI=QPRÓQQVI=èìçíÉ=çå=é~ÖÉ=QQQK==TV=pÉÉ=`~îÉë=m=hI=píáåëçå=b=_I=_áääáåÖÜ~ã=jI=pÜìãï~ó=k=bK=ENVTPF=mÉêÅìí~åÉçìë=íê~åëîÉåçìë=Äáçéëó=áå=Üìã~å=ÜÉ~êí=êÉÅáéáÉåíëK=^åå~äë=çÑ=qÜçê~ÅáÅ=pìêÖÉêó=NSW=PORÓPOSK=UM=mêçÑÉëëçê=páê=oçó=`~äåÉ=hí=co`p=cop=EÄK=NVPMF=ï~ë=mêçÑÉëëçê=çÑ=pìêÖÉêó=áå=íÜÉ=råáîÉêëáíó=çÑ=`~ãÄêáÇÖÉ=~åÇ=`çåëìäíáåÖ=pìêÖÉçå=~í=^ÇÇÉåÄêççâÉÛë=eçëéáí~äI=`~ãÄêáÇÖÉI=Ñêçã=NVSR=íç=NVVUK=^í= íÜáë= íáãÉ= `~äåÉ= ï~ë= ëéÉ~êÜÉ~ÇáåÖ= íÜÉ= êÉå~ä= íê~åëéä~åí~íáçå= éêçÖê~ããÉ= ~í= ^ÇÇÉåÄêççâÉÛë=eçëéáí~äK= pÉÉ= `~äåÉ= o= vK= ENVTVF= fããìåçëìééêÉëëáçå= Ñçê= çêÖ~å= Öê~ÑíáåÖ= Ó= çÄëÉêî~íáçåë= çå=ÅóÅäçëéçêáå=^K=fããìåçäçÖáÅ~ä=oÉîáÉïë=QSW=NNPÓNOQK=UN= aê= a~îáÇ= t= bî~åë= ï~ë= `çåëìäí~åí= `~êÇáçäçÖáëíI= `~ãÄêáÇÖÉëÜáêÉ= ^êÉ~= eÉ~äíÜ= ^ìíÜçêáíó=EqÉ~ÅÜáåÖFI=~í=m~éïçêíÜ=eçëéáí~ä=~åÇ=^ëëçÅá~íÉ=iÉÅíìêÉê=~í=íÜÉ=råáîÉêëáíó=çÑ=`~ãÄêáÇÖÉK=

37

Early Heart Transplant Surgery in the UK

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kçï= ~= äáííäÉ= ä~íÉê= áå=lÅíçÄÉê= NVTSI= íÜÉ= ÅêáíÉêá~= Ñçê= íÜÉ= Çá~Öåçëáë= çÑ= Äê~áåJëíÉã=ÇÉ~íÜ=ïÉêÉ=éìÄäáëÜÉÇKUP=qÜáë=ï~ë=ÜìÖÉäó=áãéçêí~åíI=ÄÉÅ~ìëÉ=áí=ãÉ~åí=íÜ~í=f=ÅçìäÇ=ÑÉÉä= ÅçåÑáÇÉåí= ~Äçìí= í~âáåÖ= ~=ÜÉ~êí= çìí=çÑ= ~=Äê~áåJÇÉ~Ç=ÇçåçêI= áÑ= íÜ~í=Çá~Öåçëáë=Ü~Ç=ÄÉÉå=Éëí~ÄäáëÜÉÇ=Äó=íïç=êÉëéçåëáÄäÉ=éÜóëáÅá~åëK=pç=íÜ~í=ï~ë=~=ÖêÉ~í=~Çî~åÅÉK=^í= íÜÉ= ë~ãÉ= íáãÉI= ïÉ= Öçí= ÑìåÇáåÖ= Ñêçã= íÜÉ= êÉÖáçå= íç= Çç= çìê= çïå= êÉëÉ~êÅÜ=éêçÖê~ããÉ=~í=eìåíáåÖÇçå=oÉëÉ~êÅÜ=`ÉåíêÉI=~=éêáî~íÉ=áåëíáíìíáçåI=~åÇ=áå=NVTTÓNVTUI=ïÉ= ÇáÇ= ~= ëÉêáÉë= çÑ= íê~åëéä~åí= çéÉê~íáçåë= áå= éáÖëK=qÜÉëÉ=ïÉêÉ= éêÉëÉêî~íáçå=

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=38

Early Heart Transplant Surgery in the UK

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39

Early Heart Transplant Surgery in the UK

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qÜÉ=ïÜçäÉ=éêçíçÅçä=Ü~Ç=ÄÉÉå=Ä~ëÉÇ=îÉêó=ãìÅÜ=çå=íÜÉ=pí~åÑçêÇ=éêçÖê~ããÉI=ïáíÜ=ïÜáÅÜ=f=ï~ë=íÜÉå=Ñ~ãáäá~êK=f=ïêçíÉ=íç=aê=pÜìãï~ó=áå=j~êÅÜ=çÑ=NVTU=~åÇ=~ëâÉÇ=Üáã= Ñçê= ëçãÉ= ê~ÄÄáí= ~åíáíÜóãçÅóíÉ= ÖäçÄìäáå= E^qdFI=ïÜáÅÜ= ÜÉ=ï~ë= åçí= ~ÄäÉ= íç=éêçîáÇÉKUU=_ìí=ïÉ=Öçí=ëçãÉ=ÉèìáåÉ=^qd=áåëíÉ~Ç=Ñêçã=réàçÜå=~åÇ=ëç=ïÉ=ÑÉäí=ïÉ=ïÉêÉ=êÉ~ëçå~Ääó=éêÉé~êÉÇK=qÜÉ=ÇáÑÑáÅìäíó=íÜÉå=ï~ëI=ïÉ=Ü~Ç=íÜÉ=ãçåÉóI=ïÉ=Ü~Ç=íÜÉ=êÉÅáéáÉåíëI= Äìí= Üçï= çå= É~êíÜ= ïÉêÉ=ïÉ= ÖçáåÖ= íç= ÖÉí= ~= Ççåçê\= f= ïêçíÉ= íç= ~ää= íÜÉ=åÉìêçëìêÖÉçåë= íÜ~í= f= âåÉïI= ~åÇ= íç= ëÉîÉê~ä= ~å~ÉëíÜÉíáëíëI= íç= ëçãÉ= çÑ= íÜÉ= êÉå~ä=íê~åëéä~åíÉêëI= ~ëâáåÖ= Ñçê= ÜÉäé= ïáíÜ= ëÉÅìêáåÖ= ~= ÇçåçêK= _ìíI= ~ä~ëI= åçåÉ= ï~ë=ÑçêíÜÅçãáåÖK=råíáä= ÉîÉåíì~ääóI= áå= g~åì~êó= NVTVI=ïÉ=ÇáÇ= ÖÉí= ~= äçÅ~ä= ÇçåçêK=oçó=x`~äåÉz=ï~ë= áå= Ñ~Åí= çìí= çÑ= íçïå= ~í= íÜÉ= íáãÉ= ~åÇ= m~ìä=jÅj~ëíÉêI=ïÜç=ï~ë= Üáë=ëÉåáçê=äÉÅíìêÉêI=~ÖêÉÉÇ=íÜ~í=ïÉ=ëÜçìäÇ=ìëÉ=íÜÉ=ÜÉ~êí=~åÇ=ïÉ=ÇáÇK=qÜ~í=ï~ë=çå=NQ=g~åì~êó=NVTVK=f=ïçåÛí=Öç=áåíç=ÇÉí~áäë=~Äçìí=íÜÉ=çéÉê~íáçå=áíëÉäÑI=Äìí=áå=ÉëëÉåÅÉ=íÜÉ=é~íáÉåíI=`Ü~êäÉë=jÅeìÖÜI=ëìÑÑÉêÉÇ=~=ÇÉÖêÉÉ=çÑ=Äê~áå=Ç~ã~ÖÉ=ÄÉÑçêÉ=ÄÉáåÖ=éä~ÅÉÇ=çå= Å~êÇáçéìäãçå~êó= Äóé~ëëK= qÜáë=ãáÖÜí= Ü~îÉ= ÄÉÉå= êÉä~íÉÇ= íç= íÜÉ= ^qdI=ïÜáÅÜ=Å~ìëÉÇ= ~= Äçìí= çÑ= ÜóéçíÉåëáçåI= ~åÇ= ~äíÜçìÖÜ= f= ï~ë= áåÑçêãÉÇ= çÑ= íÜáë= Äó= açå=_ÉíÜìåÉ=ÄÉÑçêÉ=f=íççâ=íÜÉ=Ççåçê=ÜÉ~êí=çìíI=ÜÉ=ÑÉäí=íÜ~í=ÜÉ=ÅçìäÇåÛí=ÄÉ=ëìêÉ=íÜ~í=

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=40

Early Heart Transplant Surgery in the UK

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41

Early Heart Transplant Surgery in the UK

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f=ã~å~ÖÉÇ=íç=ê~áëÉ=¡RM=MMM=ÇìêáåÖ=NVTVI=ïÜáÅÜ=íççâ=Å~êÉ=çÑ=~Äçìí=ëáñ=Å~ëÉëI=~åÇ=íÜÉ=aÉé~êíãÉåí=Ö~îÉ=ìë=¡NMM=MMM=ÇìêáåÖ=NVUMI=~ë=~= ëçêí=çÑ=ÖÉåíäÉ=Ä~ÅâÜ~åÇÉêI=ÄÉÅ~ìëÉ= íÜÉó= ëíáää= ÇáÇåÛí=ï~åí= íç=ÖáîÉ=ìë= íÜÉ= Ñçêã~ä= êÉÅçÖåáíáçå= íÜ~í=ïÉ= ëçìÖÜíK=_ìí=íÜÉå=NVUM=ï~ë=áå=ã~åó=ï~óë=~=Äçå~åò~=óÉ~êI=ÄÉÅ~ìëÉ=çìê=ÑìåÇáåÖ=Å~ãÉ=ÖççÇ=áå=íÜ~í=íÜÉ=äçÅ~ä=ãáääáçå~áêÉI=a~îáÇ=oçÄáåëçåI=éêçîáÇÉÇ=ìë=ïáíÜ=¡PMM=MMMI=ïÜáÅÜ=ï~ë= íç= í~âÉ= Å~êÉ= çÑ= íÜÉ= íïç= óÉ~êë= Ñêçã= NVUN= íç= NVUOK= qÜÉ= _êáíáëÜ= eÉ~êí=cçìåÇ~íáçå=~äëç=Ö~îÉ=ãÉ=~=Öê~åí=áå=lÅíçÄÉê=çÑ=NVUM=çÑ=¡PMM=MMM=Ñçê=Éëí~ÄäáëÜáåÖ=~=oÉëÉ~êÅÜ=råáíK=qÜáë=ãçåÉó=ï~ë= ÅêáíáÅ~ä= ~í= íÜÉ= íáãÉI= ÄÉÅ~ìëÉ= áí= Éå~ÄäÉÇ= ìë= íç=Å~êêó= çå= ïáíÜ= íÜÉ= ÅäáåáÅ~ä= ïçêâ= ëç= íÜ~í= íÜÉ= Éî~äì~íáçå= Äó= oçó= x^ÅÜÉëçåz= ~åÇ=j~êíáå= _ìñíçå= ~åÇ= íÜÉáê= íïç= íÉ~ãë= çå= íÜÉ= ÅçëíJÉÑÑÉÅíáîÉåÉëë= çÑ= íÜÉ= íê~åëéä~åí=éêçÖê~ããÉë=~í=e~êÉÑáÉäÇ=~åÇ=m~éïçêíÜ=ï~ë=~ÄäÉ= íç=ÄÉ=ÅçãéäÉíÉÇ=~åÇ= íÜÉ= Ñáå~ä=êÉéçêí=ï~ë=éìÄäáëÜÉÇ=~í=íÜÉ=ÄÉÖáååáåÖ=çÑ=NVURKVO=qÜÉ=êÉëìäíë=ïÉêÉ=ëìÅÜ=íÜ~í=ÄçíÜ=ìåáíë= íÜÉå= Öçí= ëìéê~JêÉÖáçå~ä= ÑìåÇáåÖ= ~åÇ= çìê= ÑìíìêÉë= ïÉêÉ= ëÉÅìêÉ= ~åÇ= f= íÜáåâ=íÜ~í=áë=ïÜÉêÉ=f=ëÜçìäÇ=ëíçéK==

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=42

Early Heart Transplant Surgery in the UK

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qÜáë= é~ìëÉ= ~åÇ= ëäçïJÇçïå= áå= Å~êÇá~Å= íê~åëéä~åí~íáçå= ÄÉäçåÖ= íç= ~= ä~êÖÉê= ~åÇ=êÉÅìêêÉåí=éÜÉåçãÉåçå=áå=íÜÉ=Çóå~ãáÅë=çÑ=íÜÉê~éÉìíáÅ=áååçî~íáçå=íÜ~í=Å~ãÉ=íç=ÄÉ=Å~ääÉÇ=~=ÅäáåáÅ~ä=ãçê~íçêáìãK=tÜ~íÛë=áåîçäîÉÇ=ÜÉêÉ=ÄÉÖáåë=ïáíÜ=íÜÉ=íê~àÉÅíçêó=Ñêçã=íÜÉ=ä~Äçê~íçêó=éÜ~ëÉ=çÑ=ãÉÇáÅ~ä=êÉëÉ~êÅÜ=~åÇ=ïçêâ=çå=~åáã~äëI=áíë=éêçÖêÉëëáçå=íç=íÜÉ= ÅäáåáÅ= ~åÇ= íç= Üìã~å= ëìÄàÉÅíëI= ~åÇ= íÜÉ= ~ãÄáÖìáíó= ~Äçìí=ïÜÉå= íÜÉ= íáãÉ= Ü~ë=ÅçãÉ=íç=ÅçåÇìÅí=é~íáÉåíJçêáÉåíÉÇ=ÅäáåáÅ~ä=íêá~äëK=qÜ~íÛë=çåÉ=Ñ~ÅíçêK=jçîáåÖ=Ñêçã=íÜÉ=ä~Äçê~íçêó=íç=íÜÉ=ÅäáåáÅI=ïÜÉåÉîÉê=áí=çÅÅìêëI=áë=áåÜÉêÉåíäó=éêÉã~íìêÉ=ÄÉÅ~ìëÉ=çÑ=íÜÉ=éêçÄäÉã=çÑ=íÜÉ=êÉä~íáçåëÜáé=çÑ=íÜÉ=~åáã~ä=íç=íÜÉ=Üìã~å=ãçÇÉäI=ÄÉÅ~ìëÉ=çÑ=íÜÉ=éêçÄäÉãë=çÑ=âåçïå=~åÇ=ìåâåçïå=ìåÅÉêí~áåíáÉëI=ÄÉÅ~ìëÉ=çÑ=íÜÉ=ÜáÖÜ=êáëâë=íÜ~í=~êÉ=áåîçäîÉÇ=~åÇ=íÜÉ=ãáåáãìã=çÑ=ÄÉåÉÑáí=íÜ~í=áë=äáâÉäó=íç=êÉëìäí=Ñçê=é~íáÉåíÓëìÄàÉÅíë=~í=

=================================================VQ= pÉÉ=cçñ=o=`I= pï~òÉó= g=mK= ENVUQF=qÜÉ=`çìê~ÖÉ= íç=c~áäW=^= ëçÅá~ä= îáÉï= çÑ= çêÖ~å= íê~åëéä~åíë= ~åÇ=Çá~äóëáëK=`ÜáÅ~ÖçW=råáîÉêëáíó=çÑ=`ÜáÅ~Öç=mêÉëëK=qÜÉ=Ç~í~= êÉÑÉêêÉÇ= íç=~ÄçîÉ= áë= áääìëíê~íÉÇ=çå=é~ÖÉ=NOUK=VR=aê=aÉåíçå=`ççäÉó=EÄK=NVOMFI=ï~ë=~=`çåëìäí~åí=áå=Å~êÇáçî~ëÅìä~ê=ëìêÖÉêó=~í=pí=iìâÉÛë=béáëÅçé~ä=eçëéáí~äÓqÉñ~ë=`ÜáäÇêÉåÛë=eçëéáí~ä=~åÇ=pìêÖÉçåJáåJ`ÜáÉÑ=çÑ=íÜÉ=qÉñ~ë=eÉ~êí=fåëíáíìíÉI=~ë=ïÉää=~ë=`äáåáÅ~ä= mêçÑÉëëçê= çÑ= pìêÖÉêó= ~í= íÜÉ= `çê~= ~åÇ=tÉÄÄ=j~ÇáåÖ= aÉé~êíãÉåí= çÑ= pìêÖÉêóI= _~óäçê=råáîÉêëáíó=`çääÉÖÉ= çÑ=jÉÇáÅáåÉI=eçìëíçåI=qÉñ~ëK=eÉ= éÉêÑçêãÉÇ= Üáë= Ñáêëí= ÜÉ~êí= íê~åëéä~åí= çå=O=j~ó=NVSUI=ïáíÜ=~=ÑìêíÜÉê=NN=Äó=íÜÉ=ÉåÇ=çÑ=íÜÉ=óÉ~êI=áåÅäìÇáåÖ=çåÉ=ñÉåçÖê~Ñí=ìëáåÖ=~=ëÜÉÉé=ÜÉ~êí=~åÇ= çåÉ= ÜÉ~êíÓäìåÖ= íê~åëéä~åí~íáçåK=lÑ= íÜÉëÉ= NOI= ëÉîÉå= ÇáÉÇK= pÉÉ=`ççäÉó=a=^I=e~ääã~å=d=iI=_äççÇïÉää=o=aI=kçê~=g=gI=iÉ~ÅÜã~å=o=aK=ENVSUF=eìã~å=ÜÉ~êí=íê~åëéä~åí~íáçåW=bñéÉêáÉåÅÉ=ïáíÜ=íïÉäîÉ=Å~ëÉëK=^ãÉêáÅ~å=gçìêå~ä=çÑ=`~êÇáçäçÖó=OOW=UMQÓUNMK=VS= `óÅäçëéçêáå= ^= ï~ë= ìëÉÇ= çå= ~ää= é~íáÉåíë= ~í= pí~åÑçêÇ= Ñêçã=aÉÅÉãÄÉê= NVUMK= pÉÉ=jçêêáë= m= gK=ENVUNF=`óÅäçëéçêáåW=lîÉêîáÉïK=qê~åëéä~åí~íáçå=POW=PQVÓPRQK=

43

Early Heart Transplant Surgery in the UK

íÜ~í= é~êíáÅìä~ê= ÜáëíçêáÅ~ä= àìåÅíìêÉK= nìáíÉ= íóéáÅ~ääóI= ~ë= Ü~ë= ÄÉÉå= ÇÉëÅêáÄÉÇ= íÜáë=~ÑíÉêåççåI=íÜÉ=åÉï=íÜÉê~éó=~í=íÜáë=ëí~ÖÉ=áå=áíë=ÇÉîÉäçéãÉåí=ÅçåëíáíìíÉë=~=ÇÉëéÉê~íÉ=êÉãÉÇó= Ñçê= é~íáÉåíë= ïÜç= ~êÉ= ~äêÉ~Çó= ÇÉëéÉê~íÉäó= áääI= ïÜáÅÜ= ÅçãéäáÅ~íÉë= íÜÉ=çìíÅçãÉI=ã~âÉë=áí=ÇáÑÑáÅìäí=íç=áåíÉêéêÉí=~åÇ=ìëì~ääó=ãÉ~åë=íÜ~í=íÜÉ=ëìêîáî~ä=íáãÉ=çÑ= íÜÉ=é~íáÉåíÓëìÄàÉÅí= áë= ëÜçêíI= íÜçìÖÜ=íÜÉêÉ= áë=~ãÄáÖìáíó=~Äçìí=ïÜ~í=ëÜçìäÇ=ÄÉ=ÅçåëáÇÉêÉÇ= íç=ÄÉ=~= ëÜçêí= ~åÇ=~=åçíJëçJëÜçêí= ëìêîáî~ä= ~í= íÜáë= ëí~ÖÉK=qÜÉêÉÛë= ~äëç=~=ÅçåëáÇÉê~ÄäÉ= ~ãçìåí= çÑ= á~íêçÖÉåáÅ= Ü~êã= Å~ìëÉÇ= Äó= íÜÉ= åÉï= éêçÅÉÇìêÉ= çê= ÇêìÖ=íÜ~í= áë= äáâÉäó= íç= êÉëìäí= ~í= íÜáë= íáãÉI= é~êíäó= ÄÉÅ~ìëÉ= çÑ= ~ää= íÜÉ= éêçÄäÉãë= çÑ=ìåÅÉêí~áåíó=çÑ=íÉÅÜåáèìÉI=çÑ=Ççë~ÖÉI=~åÇ=íÜÉ=äáâÉ=íÜ~í=~êÉ=áåîçäîÉÇK=qÜÉ=ãçêí~äáíó=ê~íÉ=~í=íÜáë=éçáåí=áå=íÜÉ=ÇÉîÉäçéãÉåí=çÑ=~=íÜÉê~éÉìíáÅ=áååçî~íáçå=áë=áåÉîáí~Ääó=îÉêó=ÜáÖÜK=få=íÜÉ=Å~ëÉ=çÑ=íÜÉ=É~êäó=Üáëíçêó=çÑ=Üìã~å=çêÖ~å=íê~åëéä~åí~íáçåI=íÜÉå=~ÑíÉê=íÜÉ=Ñáêëí=ÅçìéäÉ=çÑ=óÉ~êë=çÑ=~=ÜÉ~êí=íê~åëéä~åí=ÚÄççãÛI=~=ÅäáåáÅ~ä=ãçê~íçêáìã=ëÉÉãë=íç= Ü~îÉ= í~âÉå= éä~ÅÉI= ïÜáÅÜ= f= ÇÉÑáåÉ= ~ë= ~= ëìëéÉåëáçå= çÑ= íÜÉ= ìëÉ= çÑ= ~= ëíáääJÉñéÉêáãÉåí~ä=éêçÅÉÇìêÉ=çå=é~íáÉåíëI=ïÜáÅÜ=ã~ó=ä~ëí=Ñçê=ïÉÉâëI=ãçåíÜëI=çê=óÉ~êëK=

jçê~íçêá~=Ü~îÉ=çÅÅìêêÉÇ=êÉéÉ~íÉÇäó=áå=íÜÉ=Üáëíçêó=çÑ=íÜÉê~éÉìíáÅ=áååçî~íáçå=~åÇ=~äëç= êÉéÉ~íÉÇäó= áå= íÜÉ= Üáëíçêó= çÑ= çêÖ~å= íê~åëéä~åí~íáçåI= åçí= çåäó=ïáíÜ= êÉÖ~êÇ= íç=Å~êÇá~Å= íê~åëéä~åí~íáçåK= qóéáÅ~ääóI= ~= ãçê~íçêáìã= í~âÉë= éä~ÅÉ= ïÜÉå= íÜÉ=ìåÅÉêí~áåíáÉë= ~åÇ= êáëâë= çÑ= ~= åÉï= íêÉ~íãÉåí= ÄÉÅ~ãÉ= ëÜ~êéäó= ~éé~êÉåí= ~åÇ= íÜÉ=é~íáÉåí= ãçêí~äáíó= ê~íÉ= ëÉÉãë= ìåÄÉ~ê~ÄäÉ= çê= ìåàìëíáÑá~ÄäÉK= råÇÉê= íÜçëÉ=ÅáêÅìãëí~åÅÉëI= éêÉëëìêÉ= Ñçê= ~= ãçê~íçêáìã= Å~å= ÅçãÉ= Ñêçã= íÜÉ= éÜóëáÅá~å=áåîÉëíáÖ~íçêëÛ= çïå= êÉ~Åíáçåë= íç= íÜÉ= ëáíì~íáçåI= Ñêçã= íÜÉáê= ÅçääÉ~ÖìÉë= áå= î~êáçìë=ï~óëI= íÜêçìÖÜ= Ñ~ÅÉJíçJÑ~ÅÉ= áåíÉê~ÅíáçåI= íÜêçìÖÜ= ïÜ~í= íÜÉó= éìÄäáëÜ= áå= ãÉÇáÅ~ä=àçìêå~äëI= Ñêçã= íÜÉ= áåëíáíìíáçå= áå= ïÜáÅÜ= íÜÉó= ïçêâI= çê= Ñêçã= é~íáÉåíë= ~åÇ= íÜÉáê=Ñ~ãáäáÉëK=qÜáë=áë=íÜÉ=ï~ó=f=ÇÉÑáåÉÇ=~=ÅäáåáÅ~ä=ãçê~íçêáìã=~í=íÜÉ=íáãÉ=íÜ~í=f=ïêçíÉ=~Äçìí=áíIVT=Äìí=f=ïçìäÇ=~ÇÇ=íç=íÜáë=åçï=íÜ~í=íÜÉ=éêÉëëìêÉ=íç=ÅÉ~ëÉ=~åÇ=ÇÉëáëí=Å~å=~äëç= ÅçãÉ= Ñêçã= íÜÉ= ãÉÇá~I= ~ë= óçì= Ü~îÉ= Çê~ã~íáÅ~ääó= ÉñÉãéäáÑáÉÇ= íçÇ~óI= ~åÇ=ÖêçïáåÖäó= Ñêçã= ÉíÜáÅë= ÅçããáííÉÉë= ïáíÜáå= Üçëéáí~äë= çê= Éñíê~ãìê~ä= áåÇÉéÉåÇÉåí=ÄçÇáÉë= äáâÉ= íÜÉ= kìÑÑáÉäÇ= cçìåÇ~íáçåÛë= `çìåÅáä= çå= _áçÉíÜáÅë= çêI= áåÅêÉ~ëáåÖäóI=ÉñÉÅìíáîÉI= äÉÖáëä~íáîÉ=çê= àìÇáÅá~ä=éçäáíáÅ~ä=ÄçÇáÉëI= áåÅäìÇáåÖ= êçó~ä= ~åÇ=éêÉëáÇÉåíá~ä=Åçããáëëáçåë=~åÇ=íÜÉáê=Éèìáî~äÉåíëK=f=íÜáåâ=íÜÉëÉ=~ÇÇáíáçå~ä=ëçìêÅÉë=çÑ=éêÉëëìêÉ=~êÉ=ÇÉîÉäçéãÉåíë= íÜ~í= ~êÉ= ~ëëçÅá~íÉÇ= ïáíÜ= íÜÉ= ÉãÉêÖÉåÅÉ= çÑ= ÄáçÉíÜáÅë= ëáåÅÉ= íÜÉ=ÄÉÖáååáåÖ=çÑ= íÜÉ=NVTMëK= fí=Ü~ë= áåÅêÉ~ëÉÇ=çêÖ~åáòÉÇ=~ííÉãéíë= íç= êÉÖìä~íÉ=é~íáÉåíJçêáÉåíÉÇ= ÅäáåáÅ~ä= êÉëÉ~êÅÜ= Ñêçã= çìíëáÇÉ= ~ë= ïÉää= ~ë= Ñêçã= áåëáÇÉ= çÑ= íÜÉ= ãÉÇáÅ~ä=éêçÑÉëëáçåK==

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=44

Early Heart Transplant Surgery in the UK

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45

Early Heart Transplant Surgery in the UK

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=46

Early Heart Transplant Surgery in the UK

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47

Early Heart Transplant Surgery in the UK

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=48

Early Heart Transplant Surgery in the UK

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49

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=50

Early Heart Transplant Surgery in the UK

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51

Early Heart Transplant Surgery in the UK

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=52

Early Heart Transplant Surgery in the UK

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53

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Dr Walter SomervilleWNNR=`~å=óçì=ëí~åÇ=~åçíÜÉê=pçãÉêîáääÉ\=vçì=ïáää=Ü~îÉ=íç=Ñçê=~=ãçãÉåíK=f=ïçìäÇ=äáâÉ=íç=~ÇÇêÉëë=ãó=ÄêáÉÑ=ÅçããÉåíI=äÉí=ãÉ=ëÉÉ=Üçï=ëÜ~ää=f=éìí=áí\= f= íÜáåâ= áí= ëÉÉãë= Ñêçã= íÜÉ= ÇáëÅìëëáçå= íÜ~í= íÜçëÉ=ãçêÉ= âåçïäÉÇÖÉ~ÄäÉ= íÜ~å= f=Ü~îÉ=ë~áÇ=íÜ~í=NVUM=ï~ë=~å=~ååìë=ÜçêêáÄáäáë=Ñçê=íê~åëéä~åí~íáçåI=~Äçìí=~í=íÜ~í=íáãÉK=

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=54

Early Heart Transplant Surgery in the UK

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55

Early Heart Transplant Surgery in the UK

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=56

Early Heart Transplant Surgery in the UK

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57

Early Heart Transplant Surgery in the UK

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=58

Early Heart Transplant Surgery in the UK

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59

Early Heart Transplant Surgery in the UK

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=60

Early Heart Transplant Surgery in the UK

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Early Heart Transplant Surgery in the UK

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Early Heart Transplant Surgery in the UK

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=================================================NPO=qÜÉ=__`Ûë=m~åçê~ã~=éêçÖê~ããÉI=Úqê~åëéä~åíëW=^êÉ=íÜÉ=Ççåçêë=êÉ~ääó=ÇÉ~Ç\ÛI=ï~ë=íê~åëãáííÉÇ=çå=jçåÇ~óI=NP=lÅíçÄÉê=NVUMK=^=ëÉÅçåÇ=éêçÖê~ããÉI=ëÅÜÉÇìäÉÇ=Ñçê=OQ=kçîÉãÄÉêI=ï~ë=Å~åÅÉääÉÇ=ÑçääçïáåÖ= ~= ÇáëéìíÉ= ÄÉíïÉÉå= íÜÉ= éêçÖê~ããÉ= ÅçåíêçääÉêë= ~åÇ= íÜÉ= `çåÑÉêÉåÅÉ= çÑ=jÉÇáÅ~ä= oçó~ä=`çääÉÖÉë= çîÉê= ÉÇáíçêá~ä= ÅçåíêçäK= pÉÉ= ^åçåK= ENVUMF=kçíÉë= ~åÇ=kÉïëW= _ê~áå=aÉ~íÜI= íÜÉ= ÇçÅíçêëÛ=Å~ëÉK= i~åÅÉí= ááW= NOMRK= cçê= ~å= ~å~äóëáë= çÑ= íê~åëéä~åíë= êÉÖáëíÉêÉÇ= ÑçääçïáåÖ= íÜÉ= éêçÖê~ããÉI= ëÉÉ=_ê~ÇäÉó=_=^I=_êççã~å=m=jK=ENVUMF=m~åçê~ã~Ûë=äçëí=íê~åëéä~åíëK=i~åÅÉí=ááW=NORUÓNORVK=

63

Early Heart Transplant Surgery in the UK

~åóíÜáåÖ= ÉäëÉK= ^åÇ= ïÉ= ÅçìäÇ= ~äëç= éÉêÜ~éë= ÖÉí= íÜÉ= íÉ~ãI= íÜÉ= âÉó= áåÇáîáÇì~äë==ïáíÜáå= íÜÉ= Üçëéáí~ä= åçí= àìëí= íÜÉ= Åçåëìäí~åí= ëí~ÑÑ= Äìí= ~ää= íÜÉ= ãÉÇáÅ~ä==íÉÅÜåáÅá~åë=~åÇ=ÉîÉêóÄçÇó=ÉäëÉI=~Åíì~ääó=áåíÉêÉëíÉÇ=áå=ëÉÉáåÖ=íÜÉ=éêçÖê~ããÉ=ÖçáåÖ=~ÜÉ~Ç= ïáíÜçìí= ÇáîáÇÉÇ= äçó~äíáÉëK= f= íÜáåâ= íÜ~í= ï~ë= îÉêó= áãéçêí~åíI= ÄçíÜ= Ñçê=m~éïçêíÜ=~åÇ=e~êÉÑáÉäÇK==

^åÇ= íÜÉåI= íÜáêÇäóI= f= ëíçééÉÇ= ~í= íÜÉ= íáãÉ= ïÜÉå= m~éïçêíÜ= ~åÇ= e~êÉÑáÉäÇ= ïÉêÉ=ÇÉëáÖå~íÉÇ= ~ë= ëìéê~JêÉÖáçå~ä= ëÉêîáÅÉëI= ~åÇ= íÜáë= f= íÜáåâ= áë= ëçãÉíÜáåÖ= íÜ~í= íÜÉ=aÉé~êíãÉåí= çÑ=eÉ~äíÜ= Å~å= ÄÉ= éêçìÇ= çÑK= f= ëÉÉ= íÜ~í=dÉçÑÑêÉó=oáîÉíí= Ü~ë= äÉÑí= íÜÉ=ãÉÉíáåÖ=ìåÑçêíìå~íÉäóI=Äìí= áí= êÉ~ääó=ï~ë=ãìÅÜ=~ÇãáêÉÇ=Äó=çíÜÉê=ÅçìåíêáÉë=~ë= íç=Üçï= _êáí~áå= Ü~åÇäÉÇ= íÜáë= åÉï= ÇÉîÉäçéãÉåí= çÑ= Å~êÇá~Å= íê~åëéä~åí~íáçå= ~åÇ=ÅçåíêçääÉÇ= íÜÉ=Éëí~ÄäáëÜãÉåí=çÑ=åÉï=ÅÉåíêÉë=~ë= áí=ï~ë=Ä~ëÉÇ=çå= íÜÉ=éêÉãáëÉ= íÜ~í=ïÜÉå=íÜÉ=íïç=ìåáíë=Ü~Ç=êÉ~ÅÜÉÇ=ãçêÉ=çê=äÉëë=íÜÉáê=Ñìää=Å~é~Åáíó=íÜÉå=~å=~ÇÇáíáçå~ä=ìåáí= ÅçìäÇ= ÄÉ= ~ééêçîÉÇI= éêÉÑÉê~Ääó= áå= ~= ÇáÑÑÉêÉåí= é~êí= çÑ= íÜÉ= ÅçìåíêóI= Äìí= íÜÉó=ïçìäÇ= Ü~îÉ= íç=ãÉÉí= ÅÉêí~áå= ÇÉÑáåÉÇ= ÅêáíÉêá~= Äó= íÜÉ=aÉé~êíãÉåí= ÄÉÑçêÉ= ÑìåÇáåÖ=ï~ë= ÑçêíÜÅçãáåÖ= ~åÇ= íÜÉå=ÇÉëáÖå~íáçå= Å~êêáÉÇ= ÅçåíáåìáåÖ= ÑìåÇáåÖK=^åÇ= áå= íÜáë=ï~ó= çîÉê= íÜÉ= ÇÉÅ~ÇÉ= íÜÉ= ìåáíë= áå= kÉïÅ~ëíäÉI= pí= dÉçêÖÉÛëI= j~åÅÜÉëíÉêI=_áêãáåÖÜ~ãI= ÅçìäÇ= ÄÉ= éä~ååÉÇ= áå= ~= ê~íáçå~ä= ï~óI= ëç= íÜ~í= íÜÉó= ïÉêÉ= ÇçáåÖ= ~=êÉ~ëçå~ÄäÉ=îçäìãÉI=çê=Ü~Ç=íÜÉ=éçíÉåíá~ä=íç=Çç=~=ÖççÇ=îçäìãÉ=çÑ=ïçêâI=ê~íÜÉê=íÜ~å=~ë= Ü~ééÉåÉÇ= áå= íÜÉ= råáíÉÇ= pí~íÉëI= ïÜÉêÉ= óçì= Ü~Ç= NSM= ìåáíëI= åçåÉ= çÑ= íÜÉã==êÉ~ääó= ÇçáåÖ= ÉåçìÖÜ= íç= ÖÉí= íÜÉ= ÉñéÉêáÉåÅÉ= íÜ~í= áë= ëç= áãéçêí~åíK= qÜ~í= áë==ëçãÉíÜáåÖ=ïÜáÅÜ=íÜÉ=aÉé~êíãÉåí=Å~å=ÄÉ=éêçìÇ=çÑI=~åÇ=f=ï~ë=îÉêó=ë~Ç=ïÜÉå=íïç=óÉ~êë= ~Öç= íÜÉ= aÉé~êíãÉåí= ÇÉÅáÇÉÇ= íç= ÇÉJÇÉëáÖå~íÉ= Å~êÇá~Å= íê~åëéä~åí~íáçå==Ñçê= ëìéê~JêÉÖáçå~ä= ÑìåÇáåÖ= ÄÉÅ~ìëÉ= áí= ï~ë= åçí= ÅçåëáëíÉåí= ïáíÜ= íÜÉ= åÉï==êÉÑçêãÉÇ= eÉ~äíÜ= pÉêîáÅÉI= ïÜáÅÜ= ëçìÖÜí= Åçåíê~Åíë= ÄÉíïÉÉå= éìêÅÜ~ëÉêë= ~åÇ=éêçîáÇÉêëKNPP=f=~ã=èìáíÉ=ëìêÉ=íÜ~í=íÜáë=áë=ÖçáåÖ=íç=Ü~îÉ=~=Ç~ã~ÖáåÖ=ÉÑÑÉÅíI=Äìí=íÜáë=áë=ëçãÉíÜáåÖ=íÜ~í=ïÉ=~êÉ=ÖçáåÖ=íç=Ü~îÉ=íç=äáîÉ=ïáíÜK==

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=64

Early Heart Transplant Surgery in the UK

íê~åëéä~åí~íáçå=~=íÉ~ã=ÉÑÑçêí=ãçêÉ=íÜ~å=~åó=çíÜÉê=Ñçêã=çÑ=Å~êÇá~Å=ëìêÖÉêóK=pç=íç=Ü~îÉ=íÜÉ=~å~ÉëíÜÉíáëíëI=íÜÉ=éÉçéäÉ=ïÜç=ïÉêÉ=êÉÖáëíê~êë=~í=íÜÉ=íáãÉI=íÜçëÉ=ïÜç=ïÉêÉ=ÜçìëÉãÉåI=ÅÜÉãáÅ~ä=é~íÜçäçÖáëíëI=~åÇ=áããìåçäçÖáëíëI=~åÇ=ëç=çå=~êçìåÇ=ìëI=Ü~ë=ÄÉÉå=~ÄëçäìíÉäó= Ñ~ëÅáå~íáåÖ=~åÇ= f=Ü~îÉ= ÉåàçóÉÇ= áí= ~=ÖêÉ~í=ÇÉ~äK= f=âåçï= Ñêçã=ãó=éÜçåÉ= Å~ääë= íç= óçìI= áí= ëíáêêÉÇ= ìé=ãÉãçêáÉë= ïÜáÅÜ=ïÉêÉåÛí= NMM= éÉê= ÅÉåí= Ü~ééóI=åÉîÉêíÜÉäÉëë= f=ÜçéÉ= íÜáë=Ü~ë=ÄÉÉå=~å=Éåàçó~ÄäÉ= êÉìåáçå= Ñçê= ëçãÉ=çÑ= íÜçëÉ= íÉ~ãë=~åÇ=~å=çééçêíìåáíó=íç=êÉÑäÉÅí=çå=áí=áå=~=éçëáíáîÉ=ï~ó=~åÇ=íç=ÅçåíêáÄìíÉ=íç=~=Äáí=çÑ=ÜáëíçêóK=f=ïçìäÇ=~äëç=äáâÉ=íç=íÜ~åâ=íÜÉ=tÉääÅçãÉ=fåëíáíìíÉ=~åÇ=ãó=ÅçääÉ~ÖìÉë=çå=íÜÉ=qïÉåíáÉíÜ=`Éåíìêó=dêçìé= Ñçê=~ää= íÜÉ=ïçêâ= íÜÉóÛîÉ=éìí= áå=ïáíÜ=ìë= íêóáåÖ= íç=éìí=íÜáë=íçÖÉíÜÉê=áå=áíë=éä~ååáåÖ=éÜ~ëÉëK=pç=íÜ~åâ=óçì=~ää=îÉêó=ãìÅÜ=Ñçê=ÅçãáåÖK=

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GilstonW= cáêëí= çÑ= ~ääI= jê= `Ü~áêã~åI= f= ïçìäÇ= äáâÉ= íç= ÅçåÖê~íìä~íÉ= óçì= Ñçê= íÜáë=ÉñÅÉääÉåí=ãÉÉíáåÖK=^åÇ=íÜÉ=ëÉÅçåÇ=íÜáåÖ=áë=íÜ~í=f=ÅçääÉÅí=Äççâë=çÑ=~éÜçêáëãë=~åÇ=èìçí~íáçåë= ~åÇ= íÜáë= ~ÑíÉêåççåI= àìëí= ÄÉÑçêÉ= íÜÉ=ãÉÉíáåÖ= f= éáÅâÉÇ= ìé= íÜÉ=lñÑçêÇ=aáÅíáçå~êó=çÑ=eìãçêçìë=nìçí~íáçåë=~åÇ=f=íÜçìÖÜí=óçì=ãáÖÜí=äáâÉ=íç=ÜÉ~ê=íÜáë=çåÉK==

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65

Early Heart Transplant Surgery in the UK

=66

Early Heart Transplant Surgery in the UK

INDEX: SUBJECT

^`qeI=ëÉÉ=~ÇêÉåçÅçêíáÅçíêçéÜáÅ=ÜçêãçåÉ=^ÇÇÉåÄêççâÉÛë=eçëéáí~äI=`~ãÄêáÇÖÉI==

PTÓPUI=QN=~ÇêÉåçÅçêíáÅçíêçéÜáÅ=ÜçêãçåÉ=E^`qeFI=RU=~Çîáëçêó=ëóëíÉã=Ñçê=jáåáëíÉê=çÑ=eÉ~äíÜI=PS=^idI=ëÉÉ=~åíáäóãéÜçÅóíÉ=ÖäçÄìäáå==^ipI=ëÉÉ=~åíáäóãéÜçÅóíÉ=ëÉêìã=^ãÉêáÅ~å=gçìêå~ä=çÑ=`~êÇáçäçÖóI=Q=~å~ÉëíÜÉíáëíëI=NNÓNOI=OMI=ONÓOQI=PU=~åÉåÅÉéÜ~äáÅ=ÇçåçêëI=QSÓQT=~åáã~äë=== Åçåíêçä=çÑ=ÉñéÉêáãÉåíë=çåI=NM== ëÉÉ=~äëç=íê~åëéä~åí=ëíìÇáÉëI=

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67

Index: Subject

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68

Index : Subject

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69

Index: Subject

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72