Is severe electrolyte imbalance a contraindication for heart transplant?

Exp Clin Transplant. 2012 Feb;10(1):73-5. doi: 10.6002/ect.2011.0077.


Owing to the increasing numbers of patients with end-stage congestive heart failure awaiting heart transplant and the limited number of suitable donor organs, a decrease in stringency of donor criteria has become widely accepted over the last decade. Here, we present a case of a heart donor with severe electrolyte imbalance, specifically severe hypokalemia, and severe hypernatremia. Despite this, heart transplant was a success, and the recipient was discharged from the hospital in good general condition. We recommend further study of this issue with a larger sample size.

Publication types

  • Case Reports

MeSH terms

  • Contraindications
  • Heart Failure / surgery
  • Heart Transplantation*
  • Humans
  • Hypernatremia / complications
  • Hypernatremia / diagnosis
  • Hypokalemia / complications
  • Hypokalemia / diagnosis
  • Male
  • Middle Aged
  • Severity of Illness Index*
  • Tissue Donors*
  • Tissue and Organ Procurement / standards*
  • Treatment Outcome
  • Water-Electrolyte Imbalance / complications
  • Water-Electrolyte Imbalance / diagnosis*