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A new era in pediatric heart allocation: Keeping our house in order

Pediatric heart transplant candidates continue to face high waitlist mortality compared to other pediatric solid organ transplant candidates. Furthermore, waitlist mortality for congenital heart disease (CHD) candidates is significantly higher than non-congenital heart disease candidates. (1) In an attempt to improve waiting list mortality for all pediatric heart candidates and reduce this disparity for CHD candidates, the Organ Procurement and Transplantation Network (OPTN) implemented new allocation policies in March 2016.