Background: In Japan, there are more patients waiting for heart transplants (HTXs) than available organs.
Methods and results: Since July 2010, 68 pediatric and 366 adult patients aged <60 years applied for HTX candidacy with the Japanese Circulation Society's HTX Committee. No significant differences in freedom from death or HTX were observed between pediatric Status 1 and Status 2 patients. More adult Status 1 patients reached the endpoint of death or HTX than adult Status 2 patients. Pediatric patients (Status 1 and 2) did not have better survival than adult Status 1 or Status 2 patients.
Conclusions: Pediatric patients should be prioritized over adult patients for HTX.
Keywords: Heart transplantation; Japan; Survival; Waiting list status.