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Early Heart Transplant Surgery in the UK Tansey, EM; Reynolds, LA

For additional information about this publication click this link. http://qmro.qmul.ac.uk/jspui/handle/123456789/2826

Information about this research object was correct at the time of download; we occasionally make corrections to records, please therefore check the published record when citing. For more information contact [email protected] 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, 1999 updated 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 online following the links to Publications/Wellcome Witnesses at www.ucl.ac.uk/histmed

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.

Key Front 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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= vii NVVT= oÉëÉ~êÅÜ=áå=ÖÉåÉê~ä=éê~ÅíáÅÉQ lêÖ~åáòÉêëW=aê=f~å=q~áí=~åÇ=aê=b=j=q~åëÉó= = aêìÖë=áå=éëóÅÜá~íêáÅ=éê~ÅíáÅÉQ lêÖ~åáòÉêëW=aê=b=j=q~åëÉó=~åÇ=aê=a~îáÇ=eÉ~äó= = qÜÉ=jo`=`çããçå=`çäÇ=råáíQ lêÖ~åáòÉêëW=aê=a~îáÇ=qóêêÉää=~åÇ=aê=b=j=q~åëÉó= = qÜÉ=Ñáêëí=ÜÉ~êí=íê~åëéä~åí=áå=íÜÉ=rhR lêÖ~åáòÉêW=mêçÑÉëëçê=qçã=qêÉ~ëìêÉ= NVVU= e~ÉãçéÜáäá~W=~ëéÉÅíë=çÑ=ÅäáåáÅ~ä=ã~å~ÖÉãÉåíS lêÖ~åáòÉêëW=aê=b=j=q~åëÉó=~åÇ=mêçÑÉëëçê=`ÜêáëíáåÉ=iÉÉ= = lÄëíÉíêáÅ=ìäíê~ëçìåÇW=ÜáëíçêáÅ~ä=éÉêëéÉÅíáîÉë= lêÖ~åáòÉêëW=aê=j~äÅçäã=káÅçäëçåI=jê=gçÜå=cäÉãáåÖ=~åÇ=aê=b=j=q~åëÉó= = mçëíJéÉåáÅáääáå=~åíáÄáçíáÅë= lêÖ~åáòÉêëW=aê=oçÄÉêí=_ìÇ=~åÇ=aê=b=j=q~åëÉó= = `äáåáÅ~ä=êÉëÉ~êÅÜ=áå=_êáí~áåI=NVRMÓNVUM= lêÖ~åáòÉêëW=aê=a~îáÇ=dçêÇçå=~åÇ=aê=b=j=q~åëÉó= NVVV= fåíÉëíáå~ä=~Äëçêéíáçå= lêÖ~åáòÉêëW=páê=`ÜêáëíçéÜÉê=_ççíÜ=~åÇ=aê=b=j=q~åëÉó= = qÜÉ=jo`=béáÇÉãáçäçÖó=råáí=EpçìíÜ=t~äÉëF= lêÖ~åáòÉêëW=aê=^åÇó=kÉëë=~åÇ=aê=b=j=q~åëÉó= = kÉçå~í~ä=áåíÉåëáîÉ=Å~êÉ= lêÖ~åáòÉêëW=mêçÑÉëëçê=lëãìåÇ=oÉóåçäÇëI=aê=a~îáÇ=dçêÇçå=~åÇ=aê=b=j=q~åëÉó= = _êáíáëÜ=ÅçåíêáÄìíáçåë=íç=ãÉÇáÅáåÉ=áå=^ÑêáÅ~=~ÑíÉê=íÜÉ=ëÉÅçåÇ=ïçêäÇ=ï~ê= lêÖ~åáòÉêëW=aê=j~êó=açÄëçåI=aê=j~ìêÉÉå=j~äçï~åóI=aê=dçêÇçå=`ççâ= ~åÇ=aê=b=j=q~åëÉó=

======R=q~åëÉó=b=jI=oÉóåçäÇë=i=^K=EÉÇëF=ENVVVF=b~êäó=ÜÉ~êí=íê~åëéä~åí=ëìêÖÉêó=áå=íÜÉ=rhK=tÉääÅçãÉ= táíåÉëëÉë=íç=qïÉåíáÉíÜ=`Éåíìêó=jÉÇáÅáåÉI=íÜáë=îçäìãÉK= S=q~åëÉó=b=jI=`ÜêáëíáÉ=a=^K=EÉÇëF=ENVVVF=e~ÉãçéÜáäá~W=oÉÅÉåí=Üáëíçêó=çÑ=ÅäáåáÅ~ä=ã~å~ÖÉãÉåíK= tÉääÅçãÉ=táíåÉëëÉë=íç=qïÉåíáÉíÜ=`Éåíìêó=jÉÇáÅáåÉI=îçäK=QK=içåÇçåW=qÜÉ=tÉääÅçãÉ=qêìëíI=UN=ééK=

viii 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=

======

1 = 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= aê=^êíÜìê=eçääã~å= aê=t~äíÉê=pçãÉêîáääɲ= 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 qÜçã~ë=pÉääçêëNM=~åÇ=ãÉI=áå=NVSPI=~åÇ=ïÉ=ïÉêÉ=íçäÇ=íÜ~í=íÜÉ=êç~êë=çÑ=ä~ìÖÜíÉê= ÅçìäÇ=ÄÉ=ÜÉ~êÇ=íïç=çê=íÜêÉÉ=ÄäçÅâë=~ï~óK=få=ä~íÉ=NVSPI=ïÉ=Öçí=~=Öê~åí=çÑ=¡SMMMI= ïÜáÅÜ=áå=íÜçëÉ=Ç~óë=ï~ë=~=îÉêó=ä~êÖÉ=ëìã=çÑ=ãçåÉó=~åÇ=f=êÉåíÉÇ=~=ä~Äçê~íçêó=áå= íÜÉ=oçó~ä=sÉíÉêáå~êó=`çääÉÖÉ=Ñçê=ëáñ=çäÇ=éÉåÅÉ=~=óÉ~êI=~åÇ=ïÉ=ëÉí=~Äçìí=ïÜ~í=ïÉ= íÜçìÖÜí= ï~ë= ~= îÉêó= ëÅáÉåíáÑáÅ= ~ééêç~ÅÜ= ~åÇ= ïÉ= ïÉêÉ= ~äëç= ëìééçêíÉÇ= Äó= íÜÉ= tÉääÅçãÉ=xqêìëízK=a~îáÇ=içåÖI=ïÜç=ï~ë=íÜÉ=Ñ~íÜÉê=çÑ=fãìê~åINN=~åÇ=ïÉI=~Åíì~ääó= ÇáÇ=~=îÉêó=ä~êÖÉ=åìãÄÉê=çÑ=ÇçÖëI=Äìí=çåäó=ÇçáåÖ=ÜÉ~êíÓäìåÖ=íê~åëéä~åíëK=tÉ=~äëç= ÇáÇ= ÇçÖ= íç= ëÜÉÉéI= ëÜÉÉé= íç= ÇçÖI= ëÜÉÉé= íç= éáÖI= ~åÇ= ~= ïÜçäÉ= äçí= çÑ= ÅêçëëJëéÉÅáÉë= íê~åëéä~åíëK= ^ÑíÉê= ïÉ= Ü~Ç= ÄÉÉå= ÖçáåÖ= ~= ïÜáäÉI= íÜÉ= oçó~ä= sÉíÉêáå~êó= `çääÉÖÉ= Éëí~ÄäáëÜãÉåí=êÉ~äáòÉÇ=ïÜ~í=ï~ë=ÖçáåÖ=çå=~åÇ=íççâ=äÉÖ~ä=~ÇîáÅÉ=Ñêçã=jÅc~êä~åÉëI= íÜÉ=ëçäáÅáíçêëK=jÅc~êä~åÉë=áåîÉëíáÖ~íÉÇ=íÜÉ=ïÜçäÉ=íÜáåÖ=~åÇ=íçäÇ=íÜÉ=sÉí=`çääÉÖÉ= íÜ~í= íÜÉó= ïÉêÉ= ëç= çìí= çÑ= Ç~íÉ= íÜ~í= íÜÉó= ÅçìäÇ= çåäó= ÄÉåÉÑáí= Ñêçã= Ü~îáåÖ= ~ÅíáîÉI= éêçÖêÉëëáîÉ=ëìêÖÉçåë=áå=íÜÉ=éä~ÅÉI=~åÇ=íÜ~í=íÜÉó=ãìëíåÛí=ëÜìí=ìë=ÇçïåK=cçääçïáåÖ= íÜ~íI=ïÉ=ïÉêÉ=ïçêâáåÖ=íÜÉêÉ=~ëëáÇìçìëäóI=~åÇ=`Üêáë=_~êå~êÇI=ïÜçã=açå~äÇ=Ü~ë= ãÉåíáçåÉÇI=îáëáíÉÇ=ìë=íïáÅÉI=~ë=ÇáÇ=~=Öêçìé=Ñêçã=íÜÉ=e~ããÉêëãáíÜI=çåÉ=çÑ=íÜÉ= aÉ_çåçëNO= ï~ë= íêóáåÖ= íç= Çç= ëáãáä~ê= ïçêâ= ~í= íÜÉ= e~ããÉêëãáíÜK= f= ÑçêÖçí= íç=

======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

ãÉåíáçå=íÜ~í=íÜÉ=íÜáåÖ=íÜ~í=ÑáêÉÇ=ãÉ=çÑÑ=áå=íÜÉ=Ñáêëí=éä~ÅÉ=ï~ë=oìëëÉää=_êçÅâ= Ü~îáåÖ=~=Öç=~í=~=ÇçÖ=íê~åëéä~åíKNP== kçï= áí= Å~ãÉ= íç= ÖÉííáåÖ= Ççåçêë= ~åÇ= f= ëí~êíÉÇ=~=ëÉ~êÅÜ=Ñçê=Üçï=çåÉ=ïçìäÇ=ÖÉí= ÇçåçêëI=Ä~ëÉÇ=é~êíäó=çå=íÜÉ=ÉñéÉêáÉåÅÉ=çÑ=íÜÉ=âáÇåÉó=éÉçéäÉI=~åÇ=é~êíäó=çå=çìê= çïå= îáÉïëKNQ=låÉ=çÑ=íÜÉ=íÜáåÖë=ïÜáÅÜ=ÅçåÅÉêåÉÇ=ãÉ=~=ÖêÉ~í=ÇÉ~ä=ï~ë=íÜ~í= mêçÑÉëëçê=f~å=^áêÇ=Ü~Ç=ëçìÖÜí=éìÄäáÅáíó=~í=íÜÉ=e~ããÉêëãáíÜ=eçëéáí~ä=çîÉê=íÜÉ= pá~ãÉëÉ=íïáåë=Å~ëÉëI=~åÇ=Ü~îáåÖ=ëçìÖÜí=éìÄäáÅáíóI=áí=ëÉÉãÉÇ=íç=ãÉ=íÜ~í=àçìêå~äáëíë= ÅçìäÇ=ÑáåÇ=äçíë=çÑ=éäìãë=êáéÉ=Ñçê=éáÅâáåÖ=áÑ=íÜÉó=íìêåÉÇ=íÜÉ=äÉåëÉë=çå=íÜÉ=ãÉÇáÅ~ä= ëÅÉåÉ= éê~ÅíáÅ~ääó= ~åóïÜÉêÉKNR=^åÇ=f=íÜçìÖÜí=ïÉ=ëÜçìäÇ=éêÉé~êÉ=Ñçê= íê~åëéä~åí~íáçåI=~åÇ=ëç=f=ïêçíÉ=~=àçääóI=éçéìä~ê=ÄççâI=ïÜáÅÜ=ï~ë=~=îÉÜáÅäÉ=Ñçê=íÜÉ= ä~ëí=ÅÜ~éíÉê=ïÜáÅÜ=ÉñéäçêÉÇ=íÜÉ=ãçê~äI=ÉíÜáÅ~äI=äÉÖ~ä=~åÇ=Ñáå~åÅá~ä=~êÖìãÉåíëKNS=f= ïêçíÉ= áí= áå= NVSSK= fí= ï~ë= éìÄäáëÜÉÇI= ìåÑçêíìå~íÉäóI= àìëí= ~= ÅçìéäÉ= çÑ= Ç~óë= ÄÉÑçêÉ= içìáë=t~ëÜâ~åëâóÛë=çéÉê~íáçåI=ÄÉÅ~ìëÉ=íÜÉêÉ=Ü~Ç=ÄÉÉå=~=ëíêáâÉ=~í=íÜÉ=éêáåíÉêë=áå= fí~äóK=f=Ü~Ç=~=é~íáÉåí=áå=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~äI=Å~ääÉÇ=_áää=_ê~ÇäÉóI=ïÜçã= aê= içÅâÉó= ~åÇ= çíÜÉêë= ÜÉêÉ= ïáää= âåçïI= ïÜç= Ü~Ç= ï~íÅÜÉÇ=~=ïÜçäÉ=ëÉêáÉë=çÑ=ÇçÖ= ÜÉ~êíÓäìåÖ= íê~åëéä~åíë= ~åÇ= Ü~Ç= ÇÉÅáÇÉÇ= áí= ï~ë= íáãÉ= ÜÉ= Ü~Ç= ~= ëÉíKNT=eÉ=ï~ë======NP= `~ëë= j= eI= _êçÅâ= oK= ENVRVF= eÉ~êí= ÉñÅáëáçå= ~åÇ= êÉéä~ÅÉãÉåíK= dìóÛë= eçëéáí~ä= oÉéçêíë= NMUW== OURÓOVMK= cçê= ~= êÉîáÉï= çÑ= íÜÉ= ÑáÉäÇI= ëÉÉ= `ççéÉê= a= h= `K= ENVSUF= bñéÉêáãÉåí~ä= ÇÉîÉäçéãÉåí= çÑ= Å~êÇá~Å=íê~åëéä~åí~íáçåK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áîW=NTQÓNUNK= NQ= lå= OV= j~ó= NVSU= íÜÉ= gçáåí= `~êÇá~Å= qê~åëéä~åí= `çããáííÉÉ= çÑ= pí= j~êóÛëI= dìóÛë= ~åÇ= íÜÉ= k~íáçå~ä=eÉ~êí=eçëéáí~äI=ÅÜ~áêÉÇ=Äó=aê=g~ãÉë=jçïÄê~óI= êÉÅÉáîÉÇ= êÉéçêíë= çå= íÜÉ= ÅêáíÉêá~= Ñçê= é~íáÉåíë= Ñçê= íÜÉ= êÉÅáéáÉåí= éççä= ~åÇ= çå= íÜÉ= çêÖ~åáò~íáçå= çÑ= íÜÉ= k~íáçå~ä= qáëëìÉ= pÉêîáÅÉK= qÜÉ= jáÇÇäÉëÉñ=eçëéáí~ä=~äëç=Ü~Ç=~=cÉ~ëáÄáäáíó=çÑ=qê~åëéä~åíë=`çããáííÉÉI=ïÜáÅÜ=Ü~Ç=ÄÉÉå=Éëí~ÄäáëÜÉÇ= Äó= íÜÉ= jÉÇáÅ~ä= `çããáííÉÉK= få= NVSV= íÜÉ= k~íáçå~ä= qáëëìÉ= qóéáåÖ= oÉÑÉêÉåÅÉ= i~Äçê~íçêó= ï~ë= Éëí~ÄäáëÜÉÇ=~í=íÜÉ=pçìíÜ=tÉëí=oÉÖáçå~ä=qê~åëÑìëáçå=`ÉåíêÉI=pçìíÜãÉ~ÇI=_êáëíçäI=ÇáêÉÅíÉÇ=Äó=aê= dÉçÑÑêÉó=qçîÉóK=qÜÉ=éêçÅÉÇìêÉë=ïÉêÉ=ëáãáä~ê=íç=íÜçëÉ=ÇÉëÅêáÄÉÇ=áå=_ìñíçå=jI=^ÅÜÉëçå=oI=`~áåÉ= kI= dáÄëçå= pI= lÛ_êáÉå= _K= ENVURF= `çëíë= ~åÇ= _ÉåÉÑáíë= çÑ= íÜÉ= eÉ~êí= qê~åëéä~åí= mêçÖê~ããÉë= ~í= e~êÉÑáÉäÇ=~åÇ=m~éïçêíÜ=eçëéáí~äëK=oÉëÉ~êÅÜ=oÉéçêí=åçK=NOK=içåÇçåW=ejplK== NR=mêçÑÉëëçê=f~å=^áêÇ=co`p=ENVMRÓNVSOF=ï~ë=mêçÑÉëëçê=çÑ=pìêÖÉêó=~åÇ=aáêÉÅíçê=çÑ=íÜÉ=pìêÖáÅ~ä= råáí=~í=íÜÉ=mçëíÖê~Çì~íÉ=jÉÇáÅ~ä=pÅÜççäI=e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=Ñêçã=NVQS=ìåíáä=Üáë= ëìÇÇÉå=ÇÉ~íÜ=áå=NVSOK=^áêÇ=fK=ENVRQF=qÜÉ=ÅçåàçáåÉÇ=íïáåë=çÑ=h~åçK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áW= UPNÓUPTK=qÜÉ=éìÄäáÅáíó=íççâ=éä~ÅÉ=áå=aÉÅÉãÄÉê=NVRPK=pÉÉ=^áêÇ=fK=ENVRQF=`çêêÉëéçåÇÉåÅÉW=mêÉëë= mìÄäáÅáíóK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=áW=NRPK= NS= içåÖãçêÉ= aK= ENVSUF= pé~êÉ= m~êí= pìêÖÉêóW= qÜÉ= ëìêÖáÅ~ä= éê~ÅíáÅÉ= çÑ= íÜÉ= ÑìíìêÉK= içåÇçåW== ^äÇìë=_ççâëK= NT= _áää= _ê~ÇäÉó= ï~ë= RR= óÉ~êë= çäÇ= ïÜÉå= ÜÉ= ÇáÉÇI= Ü~îáåÖ= ï~áíÉÇ= ëÉîÉå= óÉ~êë= Ñçê= ~= ÜÉ~êí= ~åÇ= äìåÖ= íê~åëéä~åíK= c~êê= aK= ENVSUF= qÜÉ= ã~å= ïÜç= ê~å= çìí= çÑ= íáãÉK= qÜÉ= mÉçéäÉ= ENM= kçîÉãÄÉê= NVSUFK= mêçÑÉëëçê=açå~äÇ=içåÖãçêÉ=ïêçíÉW=Ú_áää=_ê~ÇäÉó=ÇáÇ=~ééÉ~ê=çå=íÉäÉîáëáçå=ïáíÜ=ãÉK=eÉ=Ü~Ç= ÄÉÅçãÉ= ~= ÅäçëÉ= ÑêáÉåÇ= ~ÑíÉê= ëéÉåÇáåÖ= ã~åó= Ç~óë= ïáíÜ= ìë= áå= íÜÉ= ÇçÖ= ä~Äçê~íçêóI= ëçãÉíáãÉë= ~ÅÅçãé~åáÉÇ=Äó=Üáë=ïáÑÉK=f=Å~ãÉ=íç=âåçï=_áää=ÄÉÅ~ìëÉ=ÜÉ=êÉÅÉáîÉÇ=çåÉ=çÑ=íÜÉ=Ñáêëí=é~ÅÉã~âÉêë= ã~ÇÉ=Äó=^Çêá~å=h~åíêçïáíò=Ñêçã=kÉï=vçêâK=fí=ï~ë= áãéä~åíÉÇ= éêçéÉêäó= Äó= mêçÑÉëëçê= gçÜå= háåãçìíÜ=~í=pí=qÜçã~ëÛë=Äìí=áí=åÉîÉê=ïçêâÉÇK=mÉíÉê=píáäÉëI=íÜÉ=íÜÉå=`ÜáÉÑ=qÉÅÜåáÅá~å=áå=íÜÉ= ÉäÉÅíêçåáÅë= ä~Äçê~íçêó= ~í= pí= qÜçã~ëÛ= eçëéáí~äI= ã~ÇÉ= ~= åìãÄÉê= çÑ= é~ÅÉã~âÉêë= ïÜáÅÜ= ïçêâÉÇ= ÇÉëéáíÉ=íÜÉ=éêçÄäÉã=çÑ=éçííáåÖ=íÜÉ=ÉäÉÅíêçåáÅë=áå=~=ë~íáëÑ~Åíçêó=ã~ååÉê=áå=^ê~äÇáíÉK=f=áãéä~åíÉÇ= çåÉ=çÑ=píáäÉëÛë=é~ÅÉã~âÉêë=áå=_ê~ÇäÉóK=KKKqÜÉ=éêçÖê~ããÉ=ï~ë=“_~êå~êÇ=Ñ~ÅÉë=Üáë=ÅêáíáÅëÒK=qÜÉêÉ=ï~ë= ~=äçåÖ=íÉäÉîáòÉÇ=ÇÉÄ~íÉI=áåÅäìÇáåÖ=aê=açå~äÇ=dçìäÇ=ïÜç=f=ÄÉäáÉîÉ=ï~ë=åçí=~=ÇçÅíçê=~åÇ=j~äÅçäã= jìÖÖÉêáÇÖÉI= ÄçíÜ= çÑ= ïÜçã= ïÉêÉ= ÉäçèìÉåí= áå= íÜÉáê= çééçëáíáçå= íç= íÜÉ= éêçÅÉÇìêÉK= qÜÉ= __`=

7 Early Heart Transplant Surgery in the UK

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8 = Early Heart Transplant Surgery in the UK

ÜçêêáÑáÉÇ= ÄÉÅ~ìëÉ= ïÉ= Ü~Ç= ~ëâÉÇ= íÜÉ= éêÉëë= íç= äÉ~îÉ= íÜÉ= ÇçåçêÛë= Ñ~ãáäó= ~äçåÉI= Üáë= ïáÑÉ=ï~ë=Ü~îáåÖ=~=ãáëÅ~êêá~ÖÉK=qïç=àçìêå~äáëíë=ÄêçâÉ=áåíç=Üáë=áåJä~ïëÛ=ÜçìëÉI=ëíçäÉ= íÜÉ=ïÉÇÇáåÖ=éÜçíçÖê~éÜ=çÑÑ=íÜÉ=ã~åíÉäéáÉÅÉ=~åÇ=Ü~Ç=~=ÑáÖÜí=çîÉê=áíI=~åÇ=íÜÉ=çåäó= çíÜÉê=áãéçêí~åí=Äáí=~Äçìí=íÜÉ=Ççåçê=ëíçêó=ÜÉêÉ=Ó=hÉáíÜ=~åÇ=açå~äÇ=xoçëëz=íççâ= íÜÉ=ÜÉ~êí=çìíI=Ü~îáåÖ=ï~áíÉÇ=Ñçê=áí=íç=ëíçé=Ó=ï~ë=~=îÉêó=å~ëíó=ÅçêçåÉêÛë=áåèìÉëí= ïÜáÅÜ= ï~ë= ëíáêêÉÇ= ìé= Äó= íÜÉ= éêÉëëK= ^åÇ= áÑ= f= Ü~ÇåÛí= í~âÉå= íÜÉ= ëâìää= ~åÇ= éÜçíçÖê~éÜë=ïáíÜ=ãÉI=ïÉ=ïçìäÇ=Ü~îÉ=ÄÉÉå=áå=îÉêó=ëÉêáçìë=ÇáÑÑáÅìäíáÉëK=

TreasureW=f=Ü~îÉ=íÜÉ=ÇÉí~áäë=çÑ=íÜ~í=áåèìÉëí=ÜÉêÉ=~åÇ=óçìê=ëí~íÉãÉåí=íç=íÜÉã=áå= íÜÉ=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=çÑ=íÜ~í=óÉ~êKOM=tÉ=ïáää=ÅçãÉ=Ä~Åâ=íç=íÜ~íK=f=ï~åíÉÇ=íç= é~ìëÉ=íÜÉêÉ=ÄÉÅ~ìëÉ=f=ï~åí=páê=hÉáíÜI=íÜÉ=ëìêÖÉçå=ïÜç=Ü~Ç=íç=éÉêÑçêã=íÜáë=îÉêó= Çê~ã~íáÅ=éêçÅÉÇìêÉ=çÑ=í~âáåÖ=çìí=~=ÜÉ~êíI=íç=íÉää=ìë=~Äçìí=íÜÉ=Ççåçê=çéÉê~íáçåK=

Sir Keith RossWON=tçìäÇ=óçì=~ääçï=ãÉ=Ñáêëí=çÑ=~ää=íç=Öç=Ä~Åâ=àìëí=~=äáííäÉ=áå=íáãÉI= ÄÉÅ~ìëÉ=pÜìãï~óÛë=å~ãÉ=Ü~ë=ÄÉÉå=ãÉåíáçåÉÇ=~äêÉ~Çó=~åÇ=àìëí=íç=éìí=çåÉÛë= ~ï~êÉåÉëë=çÑ=ÜÉ~êí=íê~åëéä~åí~íáçå=áåíç=éÉêëéÉÅíáîÉ=~ë=Ñ~ê=~ë=f=ï~ë=ÅçåÅÉêåÉÇK=f=ï~ë= Ñçêíìå~íÉ=ÉåçìÖÜ=íç=ïçêâ=ïáíÜ=aê=cê~åâ=dÉêÄçÇÉ=áå=p~å=cê~åÅáëÅçI=áå=íÜÉ=ë~ãÉ= ä~Äçê~íçêó=~ë=kçêã~å=pÜìãï~óI=áå=NVRVK=qÜÉ=ã~áå=ÉÑÑÉÅí=çÑ=íÜáë=ï~ë=íÜ~í=ïÜÉå= f=Öçí=íÜÉêÉ=~í=UKMMI=ÜÉ=Ü~Ç=~äêÉ~Çó=ÄÉÉå=ïçêâáåÖ=Ñçê=~Äçìí=íïç=Üçìêë=~åÇ=aê=o~ó= píçÑÉêI=íÜÉ=îÉíÉêáå~êá~å=ïÜç=ê~å=íÜÉáê=éìãé=çñóÖÉå~íçêI=Ü~Ç=~äêÉ~Çó=ÄäÉÇ=Ççåçê= ÇçÖë=íç=éêáãÉ=íÜÉ=ã~ÅÜáåÉKOO=oáÅÜ~êÇ=içïÉê=~åÇ=kçêã~å=pÜìãï~óI=ïÜÉå=f=Ñáêëí= ~êêáîÉÇ= íÜÉêÉI= ïÉêÉ= íê~åëéä~åíáåÖ= î~äîÉë= áåíç= î~êáçìë= é~êíë= çÑ= íÜÉ= ÅáêÅìä~íçêó= ëóëíÉãI=íÜÉ=~çêíáÅ=î~äîÉ=ï~ë=ÄÉáåÖ=íê~åëéä~åíÉÇ=ÉáíÜÉê=áåíç=íÜÉ=ÇÉëÅÉåÇáåÖ=~çêí~=çê= áåíç= íÜÉ= ãáíê~ä= éçëáíáçå= ~åÇI= Äó= íÜÉ= íáãÉ= f= äÉÑí= áå= aÉÅÉãÄÉê= NVRVI= íÜÉó= Ü~Ç= ëí~êíÉÇ=ÇçáåÖ=íÜÉ=Ñáêëí=çêíÜçíçéáÅ=ÜÉ~êí=íê~åëéä~åíë=áå=ÇçÖëK=låÉ=ï~ë=îÉêó=ãìÅÜ= ~ï~êÉI= åçí= çåäó= çÑ= ïÜ~í= ï~ë= ÖçáåÖ= çå= áå= íÜÉ= ïçêäÇ= çÑ= ÜÉ~êí= íê~åëéä~åí~íáçå= ÉñéÉêáãÉåíë=~í=íÜ~í=íáãÉI=Äìí=~äëç=íÜÉ=éÉêëçå~äáíáÉë=çÑ=íÜÉ=éÉçéäÉ=áåîçäîÉÇ=ïáíÜ= íÜ~í=ÉÑÑçêíK= pç=Ñ~ê=~ë=íÜÉ=éÉêëçå~ä=êÉÅçääÉÅíáçåë=çÑ=íÜÉ=Ñáêëí=íê~åëéä~åí=~í=íÜÉ=k~íáçå~ä=eÉ~êí= eçëéáí~ä=~êÉ=ÅçåÅÉêåÉÇI=~Ö~áå=íç=Ñáää=áå=íÜÉ=Ä~ÅâÖêçìåÇI=f=Ü~Ç=ÄÉÉå=~ééçáåíÉÇ=~ë= `çåëìäí~åí=pìêÖÉçå=íÜÉêÉ=áå=pÉéíÉãÄÉê=NVST=~åÇ=Ü~Ç=íÜÉêÉÑçêÉ=çåäó=ÄÉÉå=çå=íÜÉ= ëí~ÑÑ=Ñçê=~Äçìí=íïçJ~åÇJ~JÜ~äÑ=ãçåíÜë=ïÜÉå=íÜÉ=Ñáêëí=êìãÄäáåÖëI=áÑ=óçì=äáâÉI=çÑ=íÜÉ= éçëëáÄáäáíó=çÑ=~=ÜÉ~êíÓäìåÖ=íê~åëéä~åí=ïÉêÉ=éêçÇìÅÉÇK=f=ï~ë=áå=~=îÉêó=ÇáÑÑáÅìäí=~åÇ======OM=^åçåK=ENVSUF=jÉÇáÅ~ä=kÉïëW=fåèìÉëí=çå=ÜÉ~êí=ÇçåçêK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=ááW=RSVK=pÉÉ=é~ÖÉ= POÓPP=ÄÉäçïK= ON=páê=hÉáíÜ=oçëë=_í=co`p=ENVOTÓOMMPF=ï~ë=`çåëìäí~åí=pìêÖÉçå=~í=íÜÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä= Ñêçã=NVST=íç=NVTOX=~åÇ=`çåëìäí~åí=`~êÇá~Å=pìêÖÉçåI=tÉëëÉñ=oÉÖáçåI=pçìíÜ~ãéíçå=Ñêçã=NVTO= íç=NVVMK=eÉ=ï~ë=pÉåáçê=oÉÖáëíê~ê=~í=íÜÉ=jáÇÇäÉëÉñ=~åÇ=e~êÉÑáÉäÇ=eçëéáí~äë=Ñêçã=NVSN=íç=NVSQ= ~åÇ= `çåëìäí~åí= pìêÖÉçå= ~í= e~êÉÑáÉäÇ= Ñêçã= NVSQ= íç= NVSTK= eÉ= ï~ë= mêÉëáÇÉåí= çÑ= íÜÉ= pçÅáÉíó= çÑ= `~êÇáçíÜçê~ÅáÅ=pìêÖÉçåë=áå=NVUU=~åÇ=~=ãÉãÄÉê=çÑ=íÜÉ=`çìåÅáä=çÑ=íÜÉ=oçó~ä=`çääÉÖÉ=çÑ=pìêÖÉçåë= Ñêçã= NVUS= íç= NVVQK= eÉ= ÅÜ~áêÉÇ= íÜÉ= tçêâáåÖ= m~êíó= çå= `~êÇá~Å= qê~åëéä~åí~íáçå= çÑ= íÜÉ= oçó~ä= `çääÉÖÉ=çÑ=pìêÖÉçåë=çÑ=båÖä~åÇI=Ñêçã=NVVM=íç=NVVOK=xìéÇ~íÉÇ=NVLNLMSz= OO=píçÑÉê=o=`K=ENVSUF=^=qÉÅÜåáÅ=Ñçê=bñíê~ÅçêéçêÉ~ä=`áêÅìä~íáçåK=péêáåÖÑáÉäÇI=fiW=`Ü~êäÉë=qÜçã~ëK==

9 Early Heart Transplant Surgery in the UK

ìåëìëí~áå~ÄäÉ=éçëáíáçå=~í=íÜ~í=íáãÉI=~åÇ=f=ÑêÉÉäó=~Çãáí=íÜ~í=f=ï~ë=~í=íÜÉ=ãÉÉíáåÖ= ïÜáÅÜ=açå~äÇ=xiçåÖãçêÉz=ÇÉëÅêáÄÉÇ=~åÇ=ÑÉäí=íÜ~í=f=éÉêëçå~ääó=ÅçìäÇåÛí=ÅççéÉê~íÉ= ïáíÜ=íÜ~í=é~êíáÅìä~ê=ÉÑÑçêíK= pç=Ñ~ê=~ë=íÜÉ=çéÉê~íáçå=çå=P=j~ó=NVSU=ï~ë=ÅçåÅÉêåÉÇI=ïÉ=Ü~Ç=~äêÉ~Çó=ÄÉÉå=íç=íÜÉ= sÉíÉêáå~êó=`çääÉÖÉ=çå=íïç=çÅÅ~ëáçåë=~åÇ=íÜÉ=ÉåíáêÉ=íÉ~ã=Ü~Ç=Å~êêáÉÇ=çìí=ëí~åÇ~êÇ= ÉñéÉêáãÉåí~ä=ÜÉ~êí=íê~åëéä~åíëI=f=íÜáåâ=ïáíÜ=êÉ~ëçå~ÄäÉ=ëìÅÅÉëëK=qÜÉó=ïÉêÉ=åçåJ ëìêîáî~ä= ~ÅìíÉ= ÉñéÉêáãÉåíëI= ïÜáÅÜ= Ñ~ãáäá~êáòÉÇ= ãÉãÄÉêë= çÑ= íÜÉ= íÉ~ã= ïáíÜ= íÜÉ= éêçÅÉÇìêÉKOP=lå=íÜ~í=Ç~óI=íÜÉ=Ççåçê=~êêáîÉÇ=~í=íÜÉ=Üçëéáí~ä=~í=NQKOR=~åÇ=ïÉåí=áåíç= îÉåíêáÅìä~ê=ÑáÄêáää~íáçå=áå=íÜÉ=äáÑí=ÖçáåÖ=ìé=íç=íÜÉ=íÜÉ~íêÉ=~åÇ=íÜÉ=ÜÉ~êí=ï~ë=âÉéí= ÖçáåÖ=Äó=ÉñíÉêå~ä=Å~êÇá~Å=ã~ëë~ÖÉK=tÉ=Ü~Ç=íïáå=íÜÉ~íêÉë=~í=íÜÉ=eÉ~êí=eçëéáí~äI= ~åÇ=íÜÉ=êÉÅáéáÉåí=ï~ë=áå=çåÉ=íÜÉ~íêÉ=ïáíÜ=açå~äÇ=xoçëëz=ÖÉííáåÖ=Üáã=êÉ~Çó=~åÇ=f= Ü~Ç=íÜÉ=àçÄ=çÑ=í~âáåÖ=íÜÉ=Ççåçê=ÜÉ~êí=çìíK=qÜÉ=é~íáÉåí=ï~ë=çå=íÜÉ=í~ÄäÉ=Äó=NQKPR= áå=íÜÉ=~ÑíÉêåççå=~åÇ=~=åìãÄÉê=çÑ=çÄëÉêî~íáçåë=ïÉêÉ=ã~ÇÉ=~åÇ=ÄäççÇ=ÅìäíìêÉë= ïÉêÉ=í~âÉåK=qÜÉ=îÉåíáä~íçê=ï~ë=ëïáíÅÜÉÇ=çÑÑ=~í=NSKMVI=~åÇ=Äó=NSKPM=~ää=íÜÉ=íê~ÅÉë= çå=íÜÉ=î~êáçìë=êÉÅçêÇáåÖë=ïÉêÉ=Ñä~íK=qÜÉ=îÉåíáä~íçê=ï~ë=êÉëí~êíÉÇ=~í=NSKPUI=ÉñíÉêå~ä= Å~êÇá~Å=ã~ëë~ÖÉ=ï~ë=ÖáîÉåI=íÜÉ=ÅÜÉëí=ï~ë=çéÉåÉÇI=ÜÉé~êáå=ï~ë=ÖáîÉåI=~åÇ=íÜÉ=ÜÉ~êí= ï~ë= ~Åíì~ääó= êÉãçîÉÇ= Äó= NTKQTX= áí= íççâ= NN= ãáåìíÉë= íç= ÖÉí= íÜÉ= ÜÉ~êí= çìíK= oÉãçîáåÖ=íÜÉ=ÜÉ~êí=ï~ë=~=åçîÉä=ÉñéÉêáÉåÅÉ=~åÇ=f=ë~ï=é~êíë=çÑ=íÜÉ=áåíê~éÉêáÅ~êÇá~ä= ~å~íçãó= áå= ~= åçîÉä= ï~óK= f= ï~ë= êÉäáÉîÉÇ= íç= ÖÉí= íÜÉ= Ççåçê= ÜÉ~êí= çìí= ïáíÜçìí= Ç~ã~ÖÉI=ïÜáÅÜ=çÑ=ÅçìêëÉ=ïçìäÇ=Ü~îÉ=ÄÉÉå=~=ë~Ç=íÜáåÖ=íç=Çç=~í=íÜÉ=ÄÉÖáååáåÖ=çÑ= íÜáë=ïÜçäÉ=éêçÅÉÇìêÉK=qÜÉ=íáãÉ=Ñçê=íÜÉ=áåëÉêíáçå=çÑ=íÜÉ=Ççåçê=ÜÉ~êíI=ìé=íç=íÜÉ= íáãÉ=íÜ~í=íÜÉ=~çêíáÅ=Åä~ãé=ï~ë=êÉäÉ~ëÉÇI=ï~ë=QU=ãáåìíÉëK=qÜÉ=Ççåçê=ÜÉ~êí=ï~ë=åçí= êÉÑêáÖÉê~íÉÇ=áå=~åó=ï~óI=çíÜÉê=íÜ~å=ÄÉáåÖ=âÉéí=áå=~=Äçïä=çÑ=ÅçäÇ=ë~äáåÉ=ïÜáäÉ=áí=ï~ë= íê~åëÑÉêêÉÇ= Ñêçã= çåÉ= íÜÉ~íêÉ= íç= íÜÉ= çíÜÉê= ~åÇ= f= ãìëí= ë~ó= íÜ~í= ïÉ= ïÉêÉ= ~ää= áããÉåëÉäó= êÉäáÉîÉÇ= íç= ëÉÉ= íÜ~í= áí= ï~ë= ~ÄäÉ= íç= ÄÉ~í= ïÜÉå= íÜÉ= ~çêíáÅ= Åä~ãé= ï~ë= êÉäÉ~ëÉÇK=fí=ï~ë=~å=áåíÉåëÉäó=Çê~ã~íáÅ=ãçãÉåíI=f=íÜáåâ=Ñçê=ÉîÉêóÄçÇó=íÜÉêÉI=~ë=áí= ÄÉÅ~ãÉ=éáåâ=~åÇ=ÄÉÖ~å=íç=ÄÉ~í=ïÜÉå=íÜÉ=~çêíáÅ=Åä~ãé=ï~ë=êÉäÉ~ëÉÇK=tÜÉå=áí=ÇáÇ= ÄÉÖáå=íç=ÄÉ~í=íÜÉ=êáÖÜí=ÜÉ~êí=ÇáëíÉåÇÉÇ=~åÇ=Ü~Ç=íç=ÄÉ=ëìëí~áåÉÇ=ïáíÜ=áëçéêÉå~äáåÉI= Äìí= Ü~ééáäó= íÜÉêÉ= ï~ë= åç= äÉ~â~ÖÉ= Ñêçã= ~åó= çÑ= íÜÉ= ëìíìêÉ= äáåÉëI= åçí= íÜ~í= f= Å~å= êÉãÉãÄÉê=~åóï~óI=ÄÉÅ~ìëÉ=f=ï~ë=êÉëéçåëáÄäÉ=Ñçê=Ü~äÑ=çÑ=íÜÉã=~åÇ=açå~äÇ=xoçëëz= íÜÉ= çíÜÉê= Ü~äÑK= tÉ= ëíççÇ= çééçëáíÉ= É~ÅÜ= çíÜÉê= ~åÇ= ÇáÇ= ïÜ~íÉîÉê= Å~ãÉ= íç= Ü~åÇ= ãçëí=É~ëáäóK=qÜÉ=çåäó=çíÜÉê=íÜáåÖ=f=ïçìäÇ=äáâÉ=íç=ë~ó=~í=íÜáë=ëí~ÖÉ=áë=íÜ~í=çåÉ=ï~ë= ~ï~êÉI=îÉêó=ãìÅÜ=f=íÜáåâI=ïÜáäÉ=íÜáë=ï~ë=ÖçáåÖ=çåI=íÜ~í=íÜáë=ï~ë=~=ÜáëíçêáÅ= ãçãÉåí= ~åÇ= ëäáÖÜíäó= ìåêÉ~ä= áå= íÜÉ= êÉä~íáîÉ= Å~äã=çÑ=íÜÉ=çéÉê~íáåÖ=íÜÉ~íêÉ=~í=íÜÉ= k~íáçå~ä=eÉ~êí=eçëéáí~äK=

======OP=få=_êáí~áåI=íÜÉ=ÅçåÇìÅí=~åÇ=ÅçåÇáíáçåë=çÑ=~åáã~ä=ÉñéÉêáãÉåí~íáçå=ïÉêÉ=~åÇ=~êÉ=êÉÖìä~íÉÇ=Äó=íÜÉ= eçãÉ=lÑÑáÅÉ=ìåÇÉê=íÜÉ=`êìÉäíó=íç=^åáã~äë=^Åí=NUTSI=ä~íÉê=êÉéä~ÅÉÇ=ïáíÜ=íÜÉ=^åáã~äë=EpÅáÉåíáÑáÅ= mêçÅÉÇìêÉëF=^Åí=NVUSK=qÜÉ=^Åí=éÉêãáííÉÇ=ëìÅÜ=~ÅìíÉ=ÉñéÉêáãÉåíë=íç=ÄÉ=éÉêÑçêãÉÇ=Äó=~=äáÅÉåëÉÇ= çéÉê~íçêI= ïçêâáåÖ= çå= êÉÖáëíÉêÉÇ= éêÉãáëÉëI= ~åáã~äë= Ü~Ç= íç= ÄÉ= ~å~ÉëíÜÉíáòÉÇ= íÜêçìÖÜçìí= íÜÉ= éêçÅÉÇìêÉI=~åÇ=ïÉêÉ=åçí=~ääçïÉÇ=íç=êÉÅçîÉêK=

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

JosephW=f=ÇçåÛí=~Åíì~ääó=âåçï=ïÜÉíÜÉê=áí=ï~ë=Üáë=ä~ëí=Ç~ó=çê=ïÜÉíÜÉê=ÜÉ=ï~ë=àìëí= é~óáåÖ=~=îáëáíI=Äìí=áí=ëíìÅâ=áå=ãó=ãáåÇK=f=ï~ë=çÄîáçìëäó=éêçìÇ=íç=ÄÉ=~ëëçÅá~íÉÇ= ïáíÜ=íÜáëK=f=Å~ååçí=êÉÅ~ää=~í=íÜÉ=íáãÉ=çÑ=íÜÉ=ëìêÖÉêó=ïÜÉêÉ=f=ï~ë=~åÇ=ïÜ~í=f=ï~ë= ÇçáåÖI=Äìí=ÄÉáåÖ=àìåáçêI=f=ï~ë=åçí=~ääçïÉÇ=~ÅÅÉëë=íç=íÜÉ=é~íáÉåí=Ñçê=èìáíÉ=~=ÑÉï= Ç~óëK=qÜÉ=íÜáåÖ=íÜ~í=ëíêáâÉë=ãÉ=åçïI=äççâáåÖ=Ä~Åâ=çå=áíI=ï~ë=íÜÉ=êÉä~íáîÉ=ÑêÉÉÇçã= íÜ~í=ÉîÉêóÄçÇó=Ü~Ç=íç=Çç=áíK=fÑ=çåÉ=ï~ë=ã~âáåÖ=~=ïçêäÇJëÜ~âáåÖ=~Çî~åÅÉ=åçïI=çåÉ= ïçìäÇ= éêçÄ~Ääó= Ü~îÉ= íç= ~ééäó= íç= ëí~íìíçêó= ÄçÇáÉë= Ñçê= éÉêãáëëáçåI= ~ÅèìáêÉ= íÜÉ= ÑìåÇë=~åÇ=ÖÉí=áí=~ééêçîÉÇ=Äó=ã~åó=ÅçããáííÉÉëK=f=áã~ÖáåÉ=íÜ~í=áí=ïçìäÇ=ÄÉ=ãìÅÜ= ãçêÉ= ÇáÑÑáÅìäí= íçÇ~óK= f= íÜáåâ= ãó= ã~áå= ÅçåíêáÄìíáçå= ï~ë= ~êíáëíáÅI= áå= âÉÉéáåÖ= ~= êÉÅçêÇ=çÑ=ïÜ~í=Ü~ééÉåÉÇ>=qÜÉ=é~íáÉåí=ï~ë=âÉéí=áå=íÜÉ~íêÉ=Ñçê=~Äçìí=íïç=ïÉÉâëK= ^Äçìí=Ü~äÑJï~ó=íÜêçìÖÜ=íÜÉ=ÅÜ~êí=óçì=ïáää=ëÉÉ=~=îÉêíáÅ~ä=äáåÉI=ïÜáÅÜ=ë~óë=ÚãçîÉÇÛI= ïÜÉå=ÜÉ=ï~ë=ãçîÉÇ=Ñêçã=íÜÉ~íêÉ=íç=êÉÅçîÉêóK== låÉ= íÜáåÖ= íÜ~í= ÅçåÅÉêåÉÇ= ÉîÉêóÄçÇó= ãçëí= ~í= íÜÉ= íáãÉ= ï~ë= íêóáåÖ= íç= éáåJéçáåí= ÉéáëçÇÉë=çÑ=êÉàÉÅíáçåK=^åçíÜÉê=íÜáåÖ=íÜ~í=ëíêáâÉë=ãÉ=åçï=áë=íÜÉ=êÉä~íáîÉ=é~ìÅáíó=çÑ= ÇêìÖë= íÜ~í= ïÉ= Ü~Ç= ~î~áä~ÄäÉ= ~í= íÜÉ= íáãÉK= ^ë= óçì= ë~óI= ÜÉ= Å~ãÉ= çÑÑ= Äóé~ëë= çå= áëçéêÉå~äáåÉI=~åÇ=áëçéêÉå~äáåÉ=ï~ë=êÉ~ääó=íÜÉ=çåäó=ëóãé~íÜçãáãÉíáÅ=ÇêìÖ=ïÉ=Ü~ÇI= ~é~êí=Ñêçã=~ÇêÉå~äáåÉK=fí=ï~ë=ìëÉÇ=áå=èìáíÉ=ä~êÖÉ=ÇçëÉë=É~êäó=çåK=qÜÉ=Ñáêëí=îÉêíáÅ~ä= äáåÉ=êÉéêÉëÉåíë=ïÜ~í=ï~ë=íÜçìÖÜí=íç=ÄÉ=~å=ÉéáëçÇÉ=çÑ=êÉàÉÅíáçå=ïÜáÅÜ=ï~ë= ~ëëçÅá~íÉÇ=ïáíÜ=~=ÑÉîÉê=E~í=íÜÉ=Äçííçã=çÑ=íÜÉ=ÅÜ~êíF=~åÇ=~=Ñ~ää=áå=éä~íÉäÉí=ÅçìåíK= qÜÉ= ÇçëÉë= çÑ= éêÉÇåáëçåÉ= ~åÇ= íÜÉ= ~ò~íÜáçéêáåÉI= ïÜáÅÜ= ïÉêÉ= íÜÉ= çåäó= ÇêìÖë= ~î~áä~ÄäÉI=ïÉêÉ=áåíÉåëáÑáÉÇ=ÅçåëáÇÉê~ÄäóK=qÜÉó=ïÉêÉ=êÉáåíêçÇìÅÉÇ=~í=î~êáçìë=éçáåíë= áå=Üáë=ÅçìêëÉ=ïÜÉå=ÑìêíÜÉê=ÉéáëçÇÉë=çÑ=êÉàÉÅíáçå=ïÉêÉ=Çá~ÖåçëÉÇK=lå=íÜáë=ÅÜ~êí=xëÉÉ= é~ÖÉë= NQÓNRz= f= Ü~îÉ= ÇçÅìãÉåíÉÇ= ëçãÉíÜáåÖ= Å~ääÉÇ= Úok^ÛI= f= Å~ååçíI= åçïI= êÉãÉãÄÉê=Éñ~Åíäó=ïÜ~í=ãÉ~ëìêÉãÉåí=íÜáë=ï~ëI=Äìí=áí=ï~ë=ìëÉÇ=~ë=~å=~ëëÉëëãÉåí=çÑ= êÉàÉÅíáçåKOU=^åçíÜÉê=íÜáåÖ=íÜ~í=ëíêìÅâ=ãÉ=Eçå=êÉ~ÇáåÖ=íÜêçìÖÜ=íÜÉ=äçåÖÉëí=ÅäáåáÅ~ä======OU= mêçÑÉëëçê= g~ãÉë= jçïÄê~ó= ïêçíÉW= Úfå= NVST= ~= êÉëÉ~êÅÜ= ïçêâÉê= ~åÇ= mÜa= ëíìÇÉåí= áå= íÜÉ= aÉé~êíãÉåí=çÑ=pìêÖÉêó=~í=dìóÛëI=gç~å=m~êâÉêI=ÇÉîÉäçéÉÇ=íÜáë=íÉëíK=^äíÜçìÖÜ=ëÜÉ=ï~ë=~=Öê~Çì~íÉ= ëíìÇÉåí=~í=dìóÛë=ëÜÉ=Ü~Ç=~ëâÉÇ=ãÉ=íç=ÄÉ=ÜÉê=ëìéÉêîáëçêI=~åÇ=ÜÉê=çíÜÉê=ÅçååÉÅíáçå=ïáíÜ=Å~êÇá~Å= íê~åëéä~åí~íáçå=ï~ë=íÜ~í=ëÜÉ=áë=~=Åçìëáå=çÑ=açå~äÇ=oçëë>=qÜÉ=ïçêâ=ëÜÉ=Ü~ë=ÇçåÉ=~åÇ=ïÜáÅÜ=áë=íÜÉ= Ä~ëáë=çÑ=ÜÉê=mÜa=íÜÉëáë=êÉä~íÉë=íç=~å=çÄëÉêî~íáçå=çêáÖáå~ääó=íÜ~í=ÇìêáåÖ=êÉàÉÅíáçå=ÉéáëçÇÉë=áå=êÉå~ä= íê~åëéä~åí~íáçå=íÜÉêÉ=ï~ë=~å=áåÅêÉ~ëÉ=áå=ok^=ëóåíÜÉëáë=áå=~=ëìÄéçéìä~íáçå=çÑ=ÄäççÇ=ãçåçåìÅäÉ~ê= ÅÉääëK=qÜáë=ÄÉÅ~ãÉI=áå=áíë=íáãÉI=èìáíÉ=~=ìëÉÑìä=~ÇàìåÅí=íç=çíÜÉê=ï~óë=çÑ=ÇÉíÉÅíáåÖ=êÉàÉÅíáçå=ÉéáëçÇÉë= áå= êÉå~ä= ~ääçÖê~ÑíëI= ~åÇ= íÜìë= ìåëìêéêáëáåÖäó= açå~äÇ=oçëë=ëìÖÖÉëíÉÇ=äççâáåÖ=~í=áí=áå=íÜÉ=Å~êÇá~Å= ~ääçÖê~Ñí=é~íáÉåíëK=fí=ÅçêêÉä~íÉÇ=ïÉää=ïáíÜ=çíÜÉê=ÉîáÇÉåÅÉ=çÑ=áãéÉåÇáåÖ=êÉàÉÅíáçå=ÉéáëçÇÉëI=~åÇ=ï~ë= çåÉ=çÑ=íÜÉ=ÅêáíÉêá~=ìëÉÇ=íç=ÇÉÅáÇÉ=íç=íêÉ~í=~=Å~êÇá~Å=êÉàÉÅíáçå=ÉéáëçÇÉ=Äó=áåÅêÉ~ëáåÖ=íÜÉ=ÇçëÉë=çÑ= áããìåçëìééêÉëëáçåI= é~êíáÅìä~êäó= çÑ= ÅçêíáÅçëíÉêçáÇëK= pìÄëÉèìÉåí= íç= íÜáëI= áå= íÜÉ= Ñáêëí= íïç== é~íáÉåíë= íêÉ~íÉÇ= gç~å= ÑáåáëÜÉÇ= ÜÉê= ïçêâI= ~åÇ= ~í= íÜÉ= ä~ëí= ãçãÉåí= ëÜçïÉÇI= ïáíÜ= íÜÉ= ÜÉäé= çÑ= aê= _Éëëáë=áå=m~êáëI=íÜ~í=íÜÉ=ÜáÖÜ=ok^=ëóåíÜÉëáòáåÖ=éÉêáéÜÉê~ä=ÄäççÇ=éçéìä~íáçå=ï~ë=åçí=äóãéÜçáÇI= Äìí= ï~ë= áå= Ñ~Åí= ÅçãéçëÉÇ= çÑ= éêçãóÉäçÅóíÉë= çÑ= ãóÉäçáÇ= çêáÖáåK= pçãÉ= îÉêó= éêÉííó= ÉäÉÅíêçå= ãáÅêçÖê~éÜë=çÑ=íÜÉëÉ=éêçãóÉäçÅóíÉë=ïÉêÉ=çÄí~áåÉÇ=Ñêçã=íÜÉ=ÄäççÇ=çÑ=çåÉ=é~íáÉåí=ïáíÜ=~=Å~êÇá~Å= êÉàÉÅíáçå=ÉéáëçÇÉK=qÜÉ=êÉ~ëçå=Ñçê=íÜáë=~ééÉ~ê~åÅÉ=çÑ=éêçãóÉäçÅóíÉë=áå=íÜÉ=ÄäççÇ=Ñêçã=íÜÉ=ÄçåÉ= ã~êêçï=~í=íÜáë=íáãÉ=êÉã~áåë=~=ãóëíÉêóKÛ=iÉííÉê=íç=jêë=içáë=oÉóåçäÇëI=NV=j~ó=NVVVK=pÉÉ=m~êâÉê=g= oK= ENVSVF= qÜÉ= ÉÑÑÉÅí= çÑ= áããìåáò~íáçå= çå= ok^= ëóåíÜÉëáë= áå= éÉêáéÜÉê~ä= ÄäççÇ= äÉìâçÅóíÉëK= mÜa= íÜÉëáëI=råáîÉêëáíó=çÑ=içåÇçåK=

13 Early Heart Transplant Surgery in the UK

= = = mçëí=çéÉê~íáîÉ=Ç~í~=çÑ=ÜÉ~êí=íê~åëéä~åí=êÉÅáéáÉåíI=jê=ctI=~ÖÉÇ=QR=Ñêçã=Ç~ó=òÉêç= EP= j~ó= NVSUF= íç= Ç~ó= QRI= ëÜçïáåÖ= ÄäççÇ= ÅÜÉãáëíêó= EëçÇáìãI= éçí~ëëáìãI= íçí~ä= éêçíÉáå=~åÇ=ìêÉ~FI=Ü~Éã~íçäçÖó=Et_`I=ïÜáíÉ=ÄäççÇ=ÅÉää=ÅçìåíI=bpoI=ÉêóíÜêçÅóíÉ= ëÉÇáãÉåí~íáçå= ê~íÉI= éä~íÉäÉíë= ~åÇ= ÉçëáåçéÜáä= ÅçìåíFI= ãÉÇáÅ~íáçå= E~ò~íÜáçéêáåÉI= éêÉÇåáëçäçåÉI= ÜóÇêçÅçêíáëçåÉI= áëçéêÉå~äáåÉI= ~ÇêÉå~äáåÉI= ÇáÖçñáå= ~åÇ= ÑêìëÉãáÇÉFI= ÑäìáÇ=Ä~ä~åÅÉI=ïÉáÖÜíI=~åÇ=íÉãéÉê~íìêÉK=e~ÉãçÇóå~ãáÅë=ïÉêÉ=åçí=êÉÅçêÇÉÇ=çå= íÜáë=ÅÜ~êíI=ïÜáÅÜ=ï~ë=ã~áåäó=ìëÉÇ=íç=êÉÅçêÇ=íêÉ~íãÉåí=~åÇ=çíÜÉê=ÑÉ~íìêÉë=ïÜáÅÜ= ãáÖÜí=~ëëáëí=íÜÉ=Çá~Öåçëáë=çÑ=áåÑÉÅíáçå=~åÇ=êÉàÉÅíáçå=áåÅäìÇáåÖ=ÑäìáÇ=Ä~ä~åÅÉI=êÉå~ä= ÑìåÅíáçå=~åÇ=Úok^Û=xëÉÉ=ÑççíåçíÉ=OUzK=lå=Ç~ó=S=íÜÉêÉ=áë=~å=ÉéáëçÇÉ=çÑ=êÉàÉÅíáçå= ïáíÜ= ~= Ñ~ää= áå= Å~êÇá~Å= çìíéìíI= ~= ÑÉîÉê= ~åÇ= ~= äçï= éä~íÉäÉí= ÅçìåíX= íêÉ~íãÉåí= ïáíÜ= ~ò~íÜáçéêáåÉ=~åÇ=éêÉÇåáëçäçåÉ=ï~ë=áåÅêÉ~ëÉÇK=lå=íÜÉ=ÑçääçïáåÖ=Ç~ó=ÜÉ=ÇÉîÉäçéÉÇ= éìäãçå~êó= äÉëáçåë= ~åÇ= ÅÜÉëí= é~áå= ïÜáÅÜ= ã~ó= Ü~îÉ= ÄÉÉå= íÜÉ= Ñáêëí= ëáÖåë= çÑ= éìäãçå~êó= áåÑ~êÅíáçå= ~åÇ= íÜÉêÉ= ïÉêÉ= ëáÖåë= çÑ= êáÖÜí= ÜÉ~êí= Ñ~áäìêÉ= ëìÄëÉèìÉåíäóK= qÜÉêÉ=ïÉêÉ=ÉéáëçÇÉë=çÑ=ÑÉîÉê=çå=Ç~ó=NO=~åÇ=NU=Äìí=åç=ÅäÉ~ê=ÉîáÇÉåÅÉ=çÑ=áåÑÉÅíáçå= çê= êÉàÉÅíáçåK= eÉ= ï~ë= íê~åëÑÉêêÉÇ= íç= íÜÉ= ï~êÇ= çå= Ç~ó= OQK= qÜÉêÉ= ïÉêÉ= ÑìêíÜÉê= ÉéáëçÇÉë=çÑ=êÉàÉÅíáçå=çå=Ç~ó=OS=EïáíÜ=Ñ~íáÖìÉI=éóêÉñá~=~åÇ=êÉÇìÅÉÇ=éä~íÉäÉíëF=~åÇ= Ç~ó= PP= ïáíÜ= éÉêëáëíáåÖ= ÜÉ~êí= Ñ~áäìêÉ= ëìÄëÉèìÉåíäó= ~åÇ= ÉîáÇÉåÅÉ= çÑ= éìäãçå~êó= áåÑ~êÅíáçå=~åÇ=áåÑÉÅíáçåX=ãÉÇáÅ~íáçå=ï~ë=áåÅêÉ~ëÉÇK=qÜÉêÉ=ïÉêÉ=ÑìêíÜÉê= Ü~ÉãçÇóå~ãáÅ=ÇÉíÉêáçê~íáçå=çå=Ç~ó=PS=~åÇ=Ü~ÉãçÇóå~ãáÅ=Åçää~éëÉ=çå=Ç~ó=PU= ïáíÜ=éêçÖêÉëëáîÉ=ÇÉíÉêáçê~íáçå=ëìÄëÉèìÉåíäóK======aê=páãçå=gçëÉéÜ= =

14 = Early Heart Transplant Surgery in the UK

= = =

15 Early Heart Transplant Surgery in the UK

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JosephW=vÉëI=Ü~ÉãçÇóå~ãáÅ=ãÉ~ëìêÉãÉåíë=ïÉêÉ=êÉÅçêÇÉÇ=ëÉé~ê~íÉäó=Äó=ëçãÉÄçÇó= ÉäëÉ=~åÇ=f=Çç=åçí=íÜáåâ=íÜÉó=ëìêîáîÉÇK=^ë=f=êÉÅ~ää=ïÉ=Ü~Ç=~å=Éåçêãçìë=ÅÜ~êí=ïáíÜ= éìäëÉ=~åÇ=ÄäççÇ=éêÉëëìêÉK=g~åÉ=xpçãÉêîáääÉz=ã~ó=éÉêÜ~éë=êÉãÉãÄÉê=ãçêÉ=íÜ~å=fI= Äìí=áí=ÇáÇ=åçí=ÑÉ~íìêÉ=çå=íÜáë=ÅÜ~êíK=

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

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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== =

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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=

GilstonW= gìëí= ~= ëã~ää= éçáåíK= f= íÜáåâ= ïÉ= Ü~Ç= ~ää= êÉ~äáòÉÇ= íÜ~í= íÜÉ= éêÉëë= áë= åçí= ëçãÉíÜáåÖ= íç= ÖÉí= Éåí~åÖäÉÇ= ïáíÜK= ^í= íÜÉ= Ñáêëí= éêÉëë= ãÉÉíáåÖ= ~ÑíÉê= íÜÉ= Ñáêëí= íê~åëéä~åí=f=ï~ë=~ëâÉÇ=Üçï=äçåÖ=íÜÉ=íê~ÅÜÉ~ä=íìÄÉ=ïçìäÇ=ëí~ó=áå=~åÇ=f=ë~áÇI=Úråíáä= áí=ÅçãÉë=çìíÛ=~åÇ=íÜ~í=ÇáÇåÛí=Öç=Ççïå=íçç=ïÉääK=

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25 Early Heart Transplant Surgery in the UK

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26 = Early Heart Transplant Surgery in the UK

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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=

======RR= páê= ^äÉÅ= oçëÉ= ENVMUÓNVVNF= ï~ë= ~= ã~êâÉí= Ö~êÇÉåÉê= ~åÇ= Ñêìáí= ãÉêÅÜ~åí= Ñêçã= NVQR= íç= NVTNI= ïÜçëÉ=êÉÅêÉ~íáçå=ï~ë=ë~áäáåÖK=eÉ=ÅáêÅìãå~îáÖ~íÉÇ=íÜÉ=ïçêäÇ=áå=NVSUI=~åÇ=ï~ë=ÜçåçìêÉÇ=ïáíÜ=íÜÉ= ÑêÉÉÇçã= çÑ= íÜÉ= `áíó= çÑ= mçêíëãçìíÜ= áå= NVSUI= íÜÉ= `áíó= çÑ= içåÇçå= áå= NVSV= ~åÇ= ÄÉÅ~ãÉ= ~å= eçåçê~êó=iáÑÉ=dçîÉêåçê=çÑ=íÜÉ=oçó~ä=k~íáçå~ä=iáÑÉÄç~í=fåëíáíìíáçå=áå=NVTRK= RS=mêçÑÉëëçê=açå~äÇ=içåÖãçêÉ=Ü~ë=ëÉîÉê~ä=ÑçäÇÉêë=çÑ=å~íáçå~äI=äçÅ~ä=~åÇ=ãÉÇáÅ~ä=éêÉëë=ÅìííáåÖë=çå= ÜÉ~êí=íê~åëéä~åí~íáçå=Ñêçã=NVSS=íç=NVTMK== RT=pÉÉ=é~ÖÉ=UK=

27 Early Heart Transplant Surgery in the UK

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BunkerW=qÜÉêÉ=ï~ë=ÅçåëáÇÉê~ÄäÉ=Çáë~ééêçî~ä=~í=pí~åÑçêÇ=~ë=ïÉääK=pí~åÑçêÇ=~í=íÜ~í= íáãÉ=ï~ë=~=îÉêó=ëã~ää=ãÉÇáÅ~ä=ëÅÜççä=ïáíÜ=~=îÉêó=ëã~ää=Üçëéáí~äI=~åÇ=íÜÉêÉ=áë=åç= ÇçìÄí=íÜ~í=pÜìãï~óÛë=éêçÖê~ããÉë=áå=Å~êÇá~Å=ëìêÖÉêó=áå=ÖÉåÉê~ä=~åÇ=ÅÉêí~áåäó=áå= ÜÉ~êí=íê~åëéä~åíI=ÄìãéÉÇ=~=äçí=çÑ=çíÜÉê=é~íáÉåí=Å~êÉ=~ëáÇÉI=áåÅäìÇáåÖ=íÜ~í=çÑ=çíÜÉê= ëìêÖÉçåë=ïÜç=ïÉêÉ=åçí=éäÉ~ëÉÇ=íç=Ü~îÉ=íÜÉáê=Å~ëÉë=Å~åÅÉääÉÇ=Ñçê=kçêãÛë=ïçêâK=

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=

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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 qÜÉ=Ñáêëí=íÜáåÖ=f=ï~åí=íç=Çç=áë=êÉ~Ç=íç=óçì=~=äÉííÉê=Ñêçã=páê=dÉçêÖÉ=dçÇÄÉêITP=ïÜç= êÉÖêÉíë=ÜÉ=Å~ååçí=ÅçãÉI=Äìí=ÜÉ=ï~ë=íÜÉ=`jl=x`ÜáÉÑ=jÉÇáÅ~ä=lÑÑáÅÉêz=~í=íÜÉ=íáãÉ= ~åÇ=ïÜ~í=ÜÉ=Ü~ë=ïêáííÉå=íç=ìë=áëW= fí=áë=îÉêó=áãéçêí~åí=íÜ~í=óçì=ÖÉí=íÜáë=ÉéáëçÇÉ=êáÖÜíK=f=ÑÉ~ê=f=Å~ååçí=åçï=êÉÅ~ää=íÜÉ= å~ãÉë=çÑ=íÜÉ=áåÇáîáÇì~äë=áåîçäîÉÇI=Äìí=óçì=ïáää=Ü~îÉ=íÜÉãK=qÜÉ=ÇáëíáåÖìáëÜÉÇ= ëìêÖÉçå=Ñêçã=dìóÛë=ïÜç=ìåÇÉêíççâ=íÜÉ=Ñáêëí=íïç=íê~åëéä~åíë=ï~ë=ÅçåÅÉêåÉÇ=~í=íÜÉ= íáãÉ=x~åÇ=çÑ=ÅçìêëÉ=íÜ~íÛë=açå~äÇ=oçëëz=~Äçìí=íÜÉ=àìëíáÑáÅ~íáçå=çÑ=éêçÅÉÉÇáåÖ= ïáíÜ=ëìÅÜ=ÉñéÉêáãÉåí~ä=ïçêâK=få=Åçåëìäí~íáçå=ïÉ=~ÖêÉÉÇ=íç=Å~ää=íçÖÉíÜÉê=íÜÉ=ëã~ää= åìãÄÉê=çÑ=ëìêÖÉçåëI=Å~êÇáçäçÖáëíë=~åÇ=ÅäáåáÅ~ä=éÜóëáçäçÖáëíë=íÜÉå=ïçêâáåÖ=áå=íÜáë= ÑáÉäÇ=íç=ÅçåëáÇÉê=ïÜÉíÜÉê=áí=ïçìäÇ=ÄÉ=ÄÉëí=íç=ÅçåíáåìÉ=ïçêâ=áå=Üìã~å=é~íáÉåíë=çê= íç=~ï~áí=íÜÉ=çìíÅçãÉ=çÑ=ÑìêíÜÉê=ïçêâ=áå=~åáã~äëK=tÉ=~ÖêÉÉÇ=ìå~åáãçìëäó=çå=~= äÉííÉê=çÑ=~ÇîáÅÉ=çÑÑÉêÉÇ=Äó=íÜÉ=ïÜçäÉ=ÖêçìéI=ïÜáÅÜ=f=ï~ë=íç=ëÉåÇ=íç=íÜÉ=ëã~ää= åìãÄÉê=çÑ=Üçëéáí~ä=ãÉÇáÅ~ä=ëí~ÑÑë=ïçêâáåÖ=áå=íÜáë=ÑáÉäÇK=fí=ï~ëI=çÑ=ÅçìêëÉI=áåÑçêã~ä= ~åÇ=åçí=ëáãéäó=íÜÉ=`jlÛë=îáÉï=åçê=íÜÉ=aÉé~êíãÉåíÛëK=fí=ï~ë=ïÉää=êÉÅÉáîÉÇ=~åÇ= Äó= ÅçåëÉåëìëI= ÑìêíÜÉê= Üìã~å= íê~åëéä~åíë= ïÉêÉ= ÇÉä~óÉÇ= ìåíáä= ãçêÉ= êÉëÉ~êÅÜ= Ü~Ç= ÄÉÉå= ÇçåÉK= lÑ= ÅçìêëÉI= ëçãÉçåÉ= äÉ~âÉÇ= íÜÉ= äÉííÉê= Äìí= áí= ï~ë= ~ÅÅÉéíÉÇ= ~ë= ~= êÉ~ëçå~ÄäÉ=ÅçåÅäìëáçå=Äó=áåÑçêãÉÇ=éÉçéäÉ=Ó=áå=åç=ëÉåëÉ=~å=áåëíêìÅíáçåKKKKfí=áë=îÉêó= áãéçêí~åí=íÜ~í=íÜáë=ëÜçìäÇ=ÄÉ=ëÉÉå=~ë=íÜÉ=ÇÉîÉäçéãÉåí=çÑ=ÅçåëÉåëìë=~åÇ=åçí= ÅÉåíê~ä=ÇáÅí~íáçåKTQ qÜ~íÛë=ïÜ~í=ÜÉ=ïêáíÉë=~ë=Üáë=êÉÅçääÉÅíáçåë=åçïI=íç=ÖìáÇÉ=ìëI=áÑ=óçì=äáâÉI=áå=çìê= ÇáëÅìëëáçå=çÑ=íÜÉëÉ=áëëìÉëK= qÜÉêÉ=~êÉ=íÜêÉÉ=éÉçéäÉ=f=ïçìäÇ=äáâÉ=íç=Å~ää=çå=ëéÉÅáÑáÅ~ääó=~í=íÜáë=éçáåí=~åÇ=íÜÉå= çíÜÉê=éÉçéäÉ=Å~å=àçáå=áåK=cáêëí=çÑ=~ääI=f=ïçìäÇ=äáâÉ=íç=~ëâ=aê=dÉçÑÑêÉó=oáîÉííI=ïÜç= ïçêâÉÇ=áå=íÜÉ=aÉé~êíãÉåí=Ñçê=OM=óÉ~êëI=ïÜç=ÄÉäáÉîÉë=ÜÉ=Å~å=ÜÉäé=ìë=ëÉÉ=íÜÉ=îáÉï= Ñêçã=íÜÉ=aÉé~êíãÉåí=çÑ=Üçï=íÜÉëÉ=ëçêíë=çÑ=íÜáåÖë=~êÉ=Ü~åÇäÉÇK=

Dr Geoffrey RivettWTR=qÜ~åâ=óçìK=dÉçêÖÉ=xdçÇÄÉêz=~ééçáåíÉÇ=ãÉI=dÉçêÖÉ=Ü~ë= ÄÉÉå=áåÅêÉÇáÄäó=ÜÉäéÑìä=íç=ãÉ=êáÖÜí=ìé=íç=íÜÉ=ä~ëí=ÑÉï=ïÉÉâë=ïáíÜ=ïêáíáåÖI=~åÇ=íÜ~í= áë= ~= íóéáÅ~ä= xdçÇÄÉêz= äÉííÉêK= f= ïçìäÇ= äáâÉ= íç= éìí= íÜáë= áëëìÉ= áåíç= íÜÉ= ïáÇÉê== =

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35 Early Heart Transplant Surgery in the UK

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36 = Early Heart Transplant Surgery in the UK

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37 Early Heart Transplant Surgery in the UK

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38 = Early Heart Transplant Surgery in the UK

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39 Early Heart Transplant Surgery in the UK

éêÉëáÇÉåíë=çÑ=íÜÉ=`~êÇá~Å=pçÅáÉíó=~åÇ=íÜÉ=pçÅáÉíó=Ñçê=`~êÇáçíÜçê~ÅáÅ=pìêÖÉêóK=tÉ= ~äëç= ~ÅÅÉéíÉÇ= íïç= êÉÅáéáÉåíë= íçï~êÇë= íÜÉ= ÉåÇ= çÑ= NVTTI= ~åÇ= íÜÉå= ãÉí= ~åÇ= Ü~Ç= ëçãÉ= äÉåÖíÜó= ÇáëÅìëëáçåë= ïáíÜ= íÜÉ= lÑÑáÅÉêë= çÑ= íÜÉ= `~ãÄêáÇÖÉ= ^êÉ~= eÉ~äíÜ= ^ìíÜçêáíóK=tÉ=íçäÇ=íÜÉã=ïÜ~í=ïÉ=ïÉêÉ=ÇçáåÖ=~åÇ=ïÜ~í=ïÉ=ï~åíÉÇ=íç=ÇçI=~åÇ= íÜÉó=Ü~Ç=~=Åçéó=çÑ=çìê=ëìÄãáëëáçå=Ñçê=íÜÉ=qê~åëéä~åí=^Çîáëçêó=m~åÉäK=qÜ~í=ï~ë= ÅçåëáÇÉêÉÇ=Äó=íÜÉ=q^m=áå=g~åì~êó=NVTU=~åÇ=áí=ï~ë=îÉêó=Çáë~ééçáåíáåÖI=ÄÉÅ~ìëÉ= íÜÉ=îáÉï=í~âÉå=ï~ë=íÜ~í=íÜÉ=aÉé~êíãÉåí=çÑ=eÉ~äíÜ=ïçìäÇ=åçí=Ñ~îçìê=~åó=çåÉJçÑÑ= çéÉê~íáçåë=~åÇ=íÜ~í=íÜÉêÉ=ï~ë=åç=ÑìåÇáåÖ=íç=ëìééçêí=~=éêçéÉê=éêçÖê~ããÉ=çÑ= Éî~äì~íáçåK= pç= ïÉ= ïÉêÉ= ëçãÉïÜ~í= ëíóãáÉÇK= eçïÉîÉêI= íÜÉ= `Ü~áêïçã~å= çÑ= íÜÉ= `~ãÄêáÇÖÉ=^êÉ~=eÉ~äíÜ=^ìíÜçêáíóI=m~ìäáåÉ=_ìêåÉíIUT=ïÜç=f=ãìëí=ë~ó=f=Ü~Ç=ÖêÉ~í= ~Çãáê~íáçå=ÑçêI=ï~ë=éêÉé~êÉÇ=ïáíÜ=ÜÉê=çÑÑáÅÉêë=íç=í~âÉ=êÉëéçåëáÄáäáíó=Ñçê=ìë=íç=ìëÉ= çìê=êÉëçìêÅÉë=~í=m~éïçêíÜ=Ñçê=íïç=Å~ëÉëI=Äìí=áí=ï~ë=ã~ÇÉ=ÅäÉ~ê=íÜ~í=íÜ~í=ï~ë=~ää= íÜÉ=ëìééçêí=ïÉ=ÅçìäÇ=ÉñéÉÅíK=^åÇ=ëç=íÜáë=ï~ë=ïÜ~í=ïÉ=éä~ååÉÇ=íç=ÇçK== 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======`çåëìäíáåÖ=mÜóëáÅá~å=~í=íÜÉ=e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=áå=NVQV=~åÇ=eçåçê~êó=`çåëìäíáåÖ= `~êÇáçäçÖáëí=~í=pí=dÉçêÖÉÛë=eçëéáí~äI=içåÇçåI=áå=NVUSK= UT= m~ìäáåÉ= oìíÜ= _ìêåÉí= `_b= ENVOMÓNVVNF= ï~ë= `Ü~áêã~å= çÑ= íÜÉ= `~ãÄêáÇÖÉ= ^êÉ~= eÉ~äíÜ= ^ìíÜçêáíó=EqÉ~ÅÜáåÖF=Ñêçã=NVTP=íç=NVUO=Ü~îáåÖ=ÄÉÉå=`Ü~áêã~å=çÑ=íÜÉ=b~ëí=^åÖäá~å=oÉÖáçå~ä= eçëéáí~ä=_ç~êÇ=Ñêçã=NVSU=íç=NVTQK= UU=^åíáäóãéÜçÅóíÉ=ëÉêìãLÖäçÄìäáå=E^ipL^idF=~åÇ=~åíáíÜóãçÅóíÉ=ÖäçÄìäáå=E^qdF=~êÉ=éçäóÅäçå~ä= ~åíáëÉê~= íç= Üìã~å= äóãéÜçÅóíÉë= çÑíÉå= éêÉé~êÉÇ= áå= áåÇáîáÇì~ä= íê~åëéä~åí= ÅÉåíêÉëK= qÜÉ= áããìåçëìééêÉëëáîÉ= ÉÑÑÉÅíë= çÑ= ê~ÄÄáí= ^id= çå= ê~í= íÜçê~ÅáÅ= ÇìÅí= ÅÉääë= ïÉêÉ= êÉéçêíÉÇ= áå= NVSPK= få= NVST=^ip=ï~ë=Éî~äì~íÉÇ=Äó=~=`áÄ~=cçìåÇ~íáçå=píìÇó=dêçìé=~åÇ=^id=ï~ë=~ÇçéíÉÇ=áå=ÅäáåáÅ~ä= íêÉ~íãÉåí= áå= aÉåîÉêK= pÉÉ= e~êâáë= d= aI= `~îÉë= mI= _êçïå= a= iI= båÖäáëÜ= q= ^K= ENVUQF= ^åíáJÜÉ~êí= ~åíáÄçÇáÉë=áå=Å~êÇá~Å=~ääçÖê~Ñí=êÉÅáéáÉåíëK=fåíÉêå~íáçå~ä=^êÅÜáîÉë=çÑ=^ääÉêÖó=~åÇ=^ééäáÉÇ=fããìåçäçÖó= TPW= NUÓOOK= pÉÉ= `çëáãá= ^= _K= ENVUUF= ^åíáäóãéÜçÅóíÉ= ÖäçÄìäáå= ~åÇ= ãçåçÅäçå~ä= ~åíáÄçÇáÉëK= få= jçêêáë=m=gK=EÉÇKF=háÇåÉó=qê~åëéä~åí~íáçåW=mêáåÅáéäÉë=~åÇ=éê~ÅíáÅÉK=mÜáä~ÇÉäéÜá~I=m^W=t=_=p~ìåÇÉêë= `çãé~åóI=PQPÓPSVK=

40 = Early Heart Transplant Surgery in the UK

íÜÉêÉ=ï~ë=~åó=ÅÉêÉÄê~ä=Ç~ã~ÖÉ=~åÇ=íÜ~í=íÜÉ=é~íáÉåí=ãáÖÜí=ÄÉ=~ää=êáÖÜíK=tÉääI=ïÉ= ïÉåí=~ÜÉ~ÇI=~åÇ=íÜÉêÉ=ï~ë=áåÇÉÉÇ=Äê~áå=Ç~ã~ÖÉ=~åÇ=íÜ~í=é~íáÉåí=åÉîÉê=Öçí=Ñìääó= çÑÑ=íÜÉ=îÉåíáä~íçêI=~äíÜçìÖÜ=ÇìêáåÖ=íÜÉ=ä~ëí=ïÉÉâ=çÑ=Üáë=äáÑÉ=ÜÉ=Ü~Ç=éÉêáçÇë=çÑÑK=_ìí= ÜÉ= ÇÉîÉäçéÉÇ= ~ëéÉêÖáääçëáëI= ~åÇ= ÇáÉÇ= çå= PN= g~åì~êóK= qÜ~í= ï~ë= ~= íêÉãÉåÇçìë= Çáë~ééçáåíãÉåí=íç=ìëK= qÜÉ=qê~åëéä~åí=^Çîáëçêó=m~åÉä=ãÉí=çå=T=cÉÄêì~êóI=~=ïÉÉâ=~ÑíÉê=íÜ~íI=~åÇ=f=ï~ë= ~ëâÉÇ=íç=Öç=íç=íÜÉ=m~åÉä=~åÇ=ÖáîÉ=íÜÉã=~=êÉéçêí=~ë=íç=ïÜ~í=Ü~Ç=Ü~ééÉåÉÇK=qÜÉ= êÉ~Åíáçå= ÖÉåÉê~ääó= ï~ë= åçí= Ñ~îçìê~ÄäÉI= Äìí= f= ë~áÇ= ~í= íÜÉ= íáãÉ= íÜ~í= áÑ= `Ü~êäÉë= jÅeìÖÜ=ÇáÉÇI=ïÉ=ïçìäÇ=Öç=~ÜÉ~Ç=~åÇ=Çç=~=ëÉÅçåÇ=Å~ëÉ=áÑ=ïÉ=ÅçìäÇ=ÖÉí=~åçíÜÉê= ÜÉ~êíK= qÜÉ= éêçÄäÉã= ïáíÜ= íÜÉ= aÉé~êíãÉåí= çÑ= eÉ~äíÜ= ~åÇ= íÜÉ= eÉ~äíÜ= ^ìíÜçêáíó= ÇìêáåÖ=NVTV=ï~ë=ÅçãéçìåÇÉÇ=Äó=íÜÉ=Ñ~Åí=íÜ~í=çÄîáçìëäó=íÜÉó=ÇÉíÉÅíÉÇ=~=ä~Åâ=çÑ= Ü~êãçåó=áå=íÜÉ=Öç~äë=çÑ=mêçÑÉëëçê=`~äåÉ=~åÇ=ãóëÉäÑI=áå=íÜ~í=ÜÉ=ëíáää=ïáëÜÉÇ=íç=ëÉÉ= íÜÉ=ïçêâ=ÖçáåÖ=çå=áå=^ÇÇÉåÄêççâÉÛëI=~åÇ=~äëç=íç=Ü~îÉ=~=Ñìää=~åÇ=Éèì~ä=ëÜ~êÉ=áå= íÜÉ= ëìêÖáÅ~ä= ~åÇ= ÅäáåáÅ~ä= ã~å~ÖÉãÉåí= çÑ= íÜÉ= é~íáÉåíK= fåÇÉÉÇI= ÜÉ= ï~åíÉÇ= íç= Çç= ~äíÉêå~íÉ= çéÉê~íáçåë= ~åÇ= f= ÇáÇåÛí= íÜáåâ= íÜáë= ï~ë= ÑÉ~ëáÄäÉK= mêçÑÉëëçê= _ìííÉêÑáÉäÇIUV= ïÜçã=ïÉ=Ü~Ç=ÄçíÜ=íê~áåÉÇ=ìåÇÉê=~í=dìóÛëI=~åÇ=ïÜç=ï~ë=íÜÉå=oÉÖáìë=mêçÑÉëëçê=çÑ= mÜóëáÅ=~í=`~ãÄêáÇÖÉI=ï~ë=ÖáîÉå=íÜÉ=ìåÉåîá~ÄäÉ=í~ëâ=çÑ=íêóáåÖ=íç=ãÉÇá~íÉ=ÄÉíïÉÉå= ìë=~åÇ=ÖÉí=ëçãÉ=êÉëçäìíáçå=íç=íÜáë=éêçÄäÉã=~åÇ=ïÉ=Ü~Ç=~=ïÜçäÉ=ëÉêáÉë=çÑ=ãÉÉíáåÖë= ÇìêáåÖ=NVTVK== få=^ìÖìëí=NVTV=ïÉ=ÇáÇ=íÜÉ=ëÉÅçåÇ=íê~åëéä~åíI=ïÜáÅÜ=ï~ë=Ñçê=hÉáíÜ=`~ëíäÉIVM=~åÇ= íÜáë=ïÉåí=îÉêó=ëãççíÜäó=~åÇ=ëìÅÅÉëëÑìääóI=~åÇ=Äó=íÜÉ=ÉåÇ=çÑ=NVTVI=ÄÉÑçêÉ=ïÉ=ÇáÇ= íÜÉ=íÜáêÇ=Å~ëÉI=ïÉ=Ü~Ç=ÅçãÉ=íç=~å=~ÖêÉÉãÉåí=ïÜÉêÉÄó=mêçÑÉëëçê=`~äåÉ=ïçìäÇ=Ü~îÉ= ~= êçäÉ= ïáíÜ= êÉÖ~êÇ= íç= éêçîáÇáåÖ= î~äì~ÄäÉ= ~ÇîáÅÉ= ïáíÜ= êÉëéÉÅí= íç= áããìåçëìééêÉëëáçåI= ~åÇ= íÜ~í= ÜÉ= ïçìäÇ= ~äëç= ÄÉ= áåîçäîÉÇ= ~ë= ~å= ~ëëáëí~åí= áå= íÜÉ= åÉñí=ÑáîÉ=Å~ëÉë=~ÑíÉê=ïÜáÅÜ=ïÉ=ïçìäÇ=êÉîáÉï=íÜÉ=ëáíì~íáçåK=qÜÉ=qê~åëéä~åí= ^Çîáëçêó= m~åÉä= ãÉí=É~êäó=íÜÉ=åÉñí=óÉ~ê=áå=NVUM=~åÇ=íÜÉó=ïÉêÉ=ãçêÉ=áãéêÉëëÉÇ= ïáíÜ=íÜÉ=èì~äáíó=çÑ=íÜÉ=ä~ëí=íïç=êÉëìäíëK=j~ÖÇá=v~ÅçìÄ=ÇáÇ=Üáë=Ñáêëí=Å~ëÉI=f=íÜáåâI= àìëí=~ÑíÉê=íÜÉ=q^m=ãÉÉíáåÖ=áå=NVUMI=íÜ~í=ïçìäÇ=Ü~îÉ=ÄÉÉå=áå=cÉÄêì~êóI=~åÇ=íÜáë= ~Ö~áå= ÅçåÅÉåíê~íÉÇ= íÜÉ= aÉé~êíãÉåíÛë= ãáåÇë= ïçåÇÉêÑìääó= çå= Éñ~Åíäó= Üçï= íÜÉó= ïÉêÉ=ÖçáåÖ=íç=Ü~åÇäÉ=íÜÉ=ÇÉîÉäçéãÉåí=çÑ=Å~êÇá~Å=íê~åëéä~åí~íáçå=áå=íÜÉ=rhK=f=Ü~Ç= ~äêÉ~Çó=ëìÖÖÉëíÉÇ=íÜ~í=áÑ=ïÉ=ÅçìäÇ=ÄÉ=åçãáå~íÉÇ=~ë=íÜÉ=çÑÑáÅá~ä=k~íáçå~ä=`ÉåíêÉI= íÜÉó=ïçìäÇ=ÑáåÇ=áí=É~ëáÉê=íç=Åçåíêçä=íÜáåÖë=Äó=ë~óáåÖ=íÜ~í=íÜÉó=ïÉêÉåÛí=ÖçáåÖ=íç=

======UV= mêçÑÉëëçê= páê= gçÜå= _ìííÉêÑáÉäÇ= EiçêÇ= _ìííÉêÑáÉäÇ= çÑ= píÉÅÜÑçêÇ= Ñêçã= NVUUF= hí= l_b= co`m== ENVOMÓOMMMF=ï~ë=oÉÖáìë=mêçÑÉëëçê=çÑ=mÜóëáÅ=~í=íÜÉ=råáîÉêëáíó=çÑ=`~ãÄêáÇÖÉ=Ñêçã=NVTS=íç=NVUT= ~åÇ=j~ëíÉê=çÑ=açïåáåÖ=`çääÉÖÉI=`~ãÄêáÇÖÉI=Ñêçã=NVTU=íç=NVUTK=xìéÇ~íÉÇ=NVLNLMSz= VM=e~äÑã~å=j=^K=ENVUOF=_êáí~áåÛë=äçåÖÉëí=äáîáåÖ=ÜÉ~êí=íê~åëéä~åí=é~íáÉåíW=hÉáíÜ=`~ëíäÉK=cçÅìë=çå= ^^`k= VW= OQK= båÖäáëÜ= q= ^= eI= péê~íí= mI= t~ääïçêâ= gI= `çêóJmÉ~êÅÉ= oI= tÜÉÉäÇçå= aK= ENVUQF= pÉäÉÅíáçå=~åÇ=éêçÅìêÉãÉåí=çÑ=ÜÉ~êíë=Ñçê=íê~åëéä~åí~íáçåK=_êáíáëÜ=jÉÇáÅ~ä=gçìêå~ä=OUUW=NUUVÓNUVNK=

41 Early Heart Transplant Surgery in the UK

ÑìåÇ=~åóÄçÇó=ÉäëÉK=qÜÉå=j~ÖÇá=Å~ãÉ=~äçåÖ=~åÇ=éìí=Üáë=Å~ëÉI=~åÇ=çÄîáçìëäó=íÜÉêÉ= ïÉêÉ=åçï=íïç=ìåáíë=áå=íÜÉ=Ñê~ãÉK=VN 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==

TreasureW= qÜ~åâ= óçì= îÉêó= ãìÅÜI= páê= qÉêÉåÅÉK= f= íÜáåâ= óçì= ~êÉ= ~= ã~ëíÉê= çÑ= ìåÇÉêëí~íÉãÉåí= ïáíÜ= ëçãÉ= çÑ= íÜÉ= ÅçããÉåíë= óçì= ã~ÇÉI= àìëí= ~ë= açå~äÇ= xoçëëz= ã~ÇÉ=äáÖÜí=çÑ=Üáë=ëìêÖÉêóK=f=íÜáåâ=ëçãÉ=çÑ=íÜçëÉ=åÉÖçíá~íáçåë=Ü~Ç=íÉåëáçåë=ïÜáÅÜ= óçì=ÄêìëÜÉÇ=~ëáÇÉK=^=äçí=çÑ=éÉçéäÉ=Ü~îÉ=ãÉãçêáÉë=çÑ=íÜ~í=ïÜáÅÜ=f=ï~åí=íç=ÅçãÉ= çå= íç= ä~íÉêI= Äìí= Ñáêëí= Å~å= ïÉ= ~ëâ= aê= cçñ= íç= ÖáîÉ= ìë= ëçãÉ= ÅçããÉåíëI= ëçãÉ= éÉêëéÉÅíáîÉë=çÑ=íÜáë=áëëìÉ=çÑ=~=ÅäáåáÅ~ä=ãçê~íçêáìãK=

Professor Renée FoxWVP=_ÉÑçêÉ=f=ëéÉ~â=~Äçìí=íÜÉ=áëëìÉ=çÑ=ÅäáåáÅ~ä=ãçê~íçêá~=ãçêÉ= ÖÉåÉê~ääóI=äÉí=ãÉ=àìëí=ë~ó=íÜ~í=ÜáëíçêáÅ~ääó=ëéÉ~âáåÖI=NVSU=Ó=ÉëéÉÅá~ääó=íÜÉ=ãçåíÜë= çÑ=pÉéíÉãÄÉê=íç=kçîÉãÄÉê=NVSU=Ó=ï~ë=íÜÉ=íáãÉ=çÑ=~=ÜÉ~êí=íê~åëéä~åí=ÚÄççãÛ=çå=~= ïçêäÇ=Ä~ëáëK=fí=ï~ë=~=Ä~åÇï~Öçå=éÉêáçÇ=áåíÉêå~íáçå~ääó=~åÇ=íÜÉ=ÑáÖìêÉë=f=Ü~îÉ=~êÉ= íÜ~í= NMR= Å~êÇá~Å= íê~åëéä~åíë= ïÉêÉ= éÉêÑçêãÉÇ= áå= íÜ~í= óÉ~êI= SM= çÑ= íÜÉã= çîÉê= íÜÉ= ÅçìêëÉ=çÑ=pÉéíÉãÄÉê=íç=kçîÉãÄÉê=~äçåÉK=^ÑíÉê=kçîÉãÄÉê=NVSUI=íÜÉ=åìãÄÉê=çÑ= Üìã~å=íê~åëéä~åíë=íÜÉ=ïçêäÇ=çîÉê=íççâ=~=ëìÇÇÉå=ëÜ~êé=éäìåÖÉ=~åÇ=äÉîÉääÉÇ=çÑÑK= jçëí=ëìêÖÉçåëI=áí=ïçìäÇ=ëÉÉãI=ÇáÇ=çåäó=çåÉ=ÜÉ~êí=íê~åëéä~åí=~åÇ=íÜÉå=ëíçééÉÇK= _ó=N=aÉÅÉãÄÉê=NVTMI=~=íçí~ä=çÑ=NST=ÜÉ~êí=íê~åëéä~åíë=Ü~Ç=ÄÉÉå=êÉÅçêÇÉÇK=qÜÉëÉ=

======VN= pÉÉ= ÄáçÖê~éÜáÅ~ä= åçíÉI= çéK= ÅáíK= åçíÉ= RU= ~ÄçîÉK= qÜÉ= ìåáíë= ïÉêÉ= ~ééêçîÉÇ= Ñçê= ëìéê~JêÉÖáçå~ä= ÑìåÇáåÖ=Äó=íÜÉ=aÉé~êíãÉåí=çÑ=eÉ~äíÜ=~åÇ=pçÅá~ä=pÉÅìêáíó=áå=NVUSK= VO=çéK=ÅáíK=åçíÉ=NQ=~ÄçîÉK=rëÉ=çÑ=`óÅäçëéçêáå=^=ÄÉÖ~å=~í=m~éïçêíÜ=áå=j~êÅÜ=NVUOK= VP=mêçÑÉëëçê=oÉå¨É=cçñ=EÄK=NVOUF=ï~ë=^ååÉåÄÉêÖ=mêçÑÉëëçê=çÑ=íÜÉ=pçÅá~ä=pÅáÉåÅÉë=~í=íÜÉ=råáîÉêëáíó= çÑ= mÉååëóäî~åá~= Ñêçã= NVSV= íç= NVVUI= åçï= bãÉêáíìëI= ïáíÜ= ëÉÅçåÇ~êó= àçáåí= ~ééçáåíãÉåíë= áå== íÜÉ= aÉé~êíãÉåí= çÑ= mëóÅÜá~íêóI= aÉé~êíãÉåí= çÑ= jÉÇáÅáåÉ= ~åÇ= íÜÉ= pÅÜççä= çÑ= kìêëáåÖK= pÜÉ= ï~ë= dÉçêÖÉ=b~ëíã~å=sáëáíáåÖ=mêçÑÉëëçê=~í=_~ääáçä=`çääÉÖÉI=lñÑçêÇI=ÇìêáåÖ=NVVSÓNVVTK=pÉÉ=cçñ=o=`I= pï~òÉó= g= mK= ENVVOF= pé~êÉ= m~êíëW= lêÖ~å= êÉéä~ÅÉãÉåí= áå= ^ãÉêáÅ~å= ëçÅáÉíóK= kÉï= vçêâI= kvW== lñÑçêÇ=råáîÉêëáíó=mêÉëëK=

42 = Early Heart Transplant Surgery in the UK

~êÉ=íÜÉ=k~íáçå~ä=fåëíáíìíÉë=çÑ=eÉ~äíÜ=ÑáÖìêÉëVQ=áå=íÜÉ=råáíÉÇ=pí~íÉëK=_ìí=íÜÉå=çîÉê= íÜÉ=éÉêáçÇ=ÄÉíïÉÉå=aÉÅÉãÄÉê=NVST=~åÇ=íÜÉ=Ñ~ää=çÑ=NVTMI=çÑ=íÜÉ=SQ=íÉ~ãë=íÜ~í= Ü~Ç=ÉåÖ~ÖÉÇ=áå=ÜÉ~êí=íê~åëéä~åíëI=íïç=çÑ=íÜÉãI=kçêã~å=pÜìãï~óÛë=~åÇ=aÉåíçå= `ççäÉóÛëIVR= Ü~Ç= ÇçåÉ= ãçêÉ= íÜ~å= OR= éÉê= ÅÉåí= çÑ= íÜÉ= íçí~ä= ~åÇ= Äó= NVTM=çåäó=aê= pÜìãï~óÛë=íÉ~ã=ï~ë=ÇçáåÖ=ÜÉ~êí=íê~åëéä~åíë=êÉÖìä~êäóI=~îÉê~ÖáåÖ=çåÉ=éÉê=ãçåíÜK= aê= `ççäÉó= Ü~Ç= ~= îÉêó= ÜáÖÜ= ãçêí~äáíó= ê~íÉK= _ó= pÉéíÉãÄÉê= NVSVI= ~ää= OP= çÑ= íÜÉ= é~íáÉåíë=çå=ïÜçã=ÜÉ=Ü~Ç=ÇçåÉ=Å~êÇá~Å=íê~åëéä~åíë=ïÉêÉ=ÇÉ~ÇK=få=Åçåíê~ëíI=~ë=çÑ= lÅíçÄÉê= NVTMI= åáåÉ= é~íáÉåíë= ëìêîáîÉÇ= çìí= çÑ= íÜÉ= OT= ÜÉ~êí= íê~åëéä~åíë= aê= pÜìãï~ó=Ü~Ç=éÉêÑçêãÉÇK= f=ïçìäÇ=ë~ó=íÜ~í=~ÑíÉê=íÜÉëÉ=ÅçìéäÉ=çÑ=óÉ~êëI=íÜáë=éÉêáçÇ=íÜ~í=f=ÅáíÉÇ=Ñêçã= aÉÅÉãÄÉê=NVST=íç=íÜÉ=Ñ~ää=x~ìíìãåz=çÑ=NVTMI=ïÜ~í=ÅçìäÇ=éêçÄ~Ääó=ÄÉ=Å~ääÉÇ=~= ÅäáåáÅ~ä= ãçê~íçêáìã= çå= ÜÉ~êí= íê~åëéä~åíë= Å~ãÉ= íç= ÉñáëíK= qÜÉ= ãáÅêçÇóå~ãáÅë= çÑ= ïÜó= ÇáÑÑÉêÉåí= íÉ~ãë= ëíçééÉÇI= ã~ó= Ü~îÉ= ÇáÑÑÉêÉÇ=Äìí=íÜÉ=çîÉê~ää=~ÖÖêÉÖ~íÉ=ÉÑÑÉÅí= ï~ë= íç= ÄêáåÖ= ÜÉ~êí= íê~åëéä~åí~íáçå= ä~êÖÉäó= íç= ~= Ü~äíI= ÉñÅÉéí= áå= íÜÉ= ÅçåíÉñí= çÑ== aê=pÜìãï~óÛë=íÉ~ãI=ìåíáä=~ééêçñáã~íÉäó=NVUMI=ïÜÉå=íÜÉêÉ=ï~ë=~=åÉï=í~âÉJçÑÑ== áå=Å~êÇá~Å=íê~åëéä~åíëK=f=~ëëçÅá~íÉ=íÜ~íI=åçí=ÉñÅäìëáîÉäóI=Äìí=åÉîÉêíÜÉäÉëëI=áåíÉÖê~ääóI= ïáíÜ= íÜÉ= ~ÇîÉåí= çÑ= íÜÉ= áããìåçëìééêÉëëáîÉ= ÇêìÖI= ÅóÅäçëéçêáåIVS=ïÜáÅÜ=ëÉÉãë== íç=Ü~îÉ=éä~óÉÇ=~=îÉêó=áãéçêí~åíI=íÜçìÖÜ=åçí=ëáåÖìä~ê=êçäÉ=áå=ëí~êíáåÖ=íÜÉ== éêçÅÉëë=ìé=~Ö~áåK= 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=~=ëíáääJ ÉñéÉêáãÉåí~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~íáÉåíJ çêáÉåíÉÇ= ÅäáåáÅ~ä= êÉëÉ~êÅÜ= Ñêçã= çìíëáÇÉ= ~ë= ïÉää= ~ë= Ñêçã= áåëáÇÉ= çÑ= íÜÉ= ãÉÇáÅ~ä= éêçÑÉëëáçåK== qÜÉ= ã~àçê= éêÉÅáéáí~åí= çÑ= íÜÉ= ãçê~íçêáìã= áå= íÜÉ= É~êäó= Üáëíçêó= çÑ= Å~êÇá~Å= íê~åëéä~åí~íáçå= ëÉÉãë= íç= Ü~îÉ= ÄÉÉå= íÜÉ= ÜáÖÜ= ãçêí~äáíó= ê~íÉ= ~ëëçÅá~íÉÇ= ïáíÜ= íÜÉ= Öê~îáíó=çÑ=íÜÉ=é~íáÉåíÓëìÄàÉÅíëÛ=áääåÉëëÉë=~åÇ=íÜÉáê=íÉêãáå~ä=ëí~ÖÉK=få=~ÇÇáíáçåI=íÜÉ= ëÜçêíJíÉêã=~ÅìíÉ=êÉàÉÅíáçå=~åÇ=ÅÜêçåáÅ=êÉàÉÅíáçå=ïÉêÉ=ÅçìéäÉÇ=ïáíÜ=íÜÉ=Ç~åÖÉê=çÑ=

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44 = Early Heart Transplant Surgery in the UK

ã~ëëáîÉ=áåÑÉÅíáçå=ìåÇÉê=íÜÉ=áããìåçëìééêÉëëáîÉ=êÉÖáãÉë=íÜ~í=ïÉêÉ=íÜÉå=~î~áä~ÄäÉK= cìêíÜÉêãçêÉI=Åçêçå~êó=~êíÉêó=ÇáëÉ~ëÉ=ÇÉîÉäçéÉÇ=áå=ÅÉêí~áå=êÉÅáéáÉåíëÛ=åÉï=ÜÉ~êíëI= Ñçê=Éñ~ãéäÉ=áå=íÜÉ=Å~ëÉ=çÑ=aê=mÜáäáé=_ä~áÄÉêÖI=íÜÉ=ëÉÅçåÇ=é~íáÉåí=çå=ïÜçã=aê= `Üêáëíá~~å=_~êå~êÇ=çéÉê~íÉÇI=íÜÉ=ÇÉîÉäçéãÉåí=çÑ=ãóçÅ~êÇáçé~íÜó=áå=çíÜÉêë=~åÇ= ~äëç=~å=áããìåÉ=êÉëéçåëÉ=íç=íÜÉ=Öê~ÑíÉÇ=ÜÉ~êíK=pìêÖáÅ~ä=íÉÅÜåáèìÉ=ÇáÇ=åçí=ëÉÉã=íç= ÄÉ=~ë=ÅçåíêáÄìíçêó=~=éÜÉåçãÉåçåI=~ë=ï~ë=íÜÉ=Å~ëÉ=ïáíÜ=É~êäó=äáîÉê=íê~åëéä~åíëK=^= ÅäáåáÅ~ä=ãçê~íçêáìã=ï~ë=Å~ääÉÇ=çå=äáîÉê=íê~åëéä~åíë=~í=~=ÅÉêí~áå=éçáåí=Äó=qÜçã~ë= pí~êòä=áå=íÜÉ=råáíÉÇ=pí~íÉëI=~åÇ=f=íÜáåâ=Äó=páê=oçó=`~äåÉ=~ë=ïÉääI=áå=çêÇÉê=íç=Öç= Ä~Åâ=íç=íÜÉ=ä~Äçê~íçêó=íç=ïçêâ=çå=íÜÉ=ÅçãéäáÅ~íÉÇ=ëìêÖáÅ~ä=íÉÅÜåáèìÉë=Ñçê=äáîÉê= íê~åëéä~åí~íáçåI= íÜ~í= íÜÉó= ÑÉäí= ïÉêÉ= ÇÉÑáÅáÉåí= ~í= íÜ~í= é~êíáÅìä~ê= íáãÉKVU=qÜÉ= êÉàÉÅíáçå=êÉ~Åíáçå=éÜÉåçãÉåçå=ï~ë=~=ã~àçê=éêçÄäÉãK=kç=Ä~ÅâJìé=ÉñáëíÉÇ=áå=íÜÉ= Ñçêã= çÑ= íÜÉ= ~êíáÑáÅá~ä= âáÇåÉó= ã~ÅÜáåÉ= ~ë= áå= êÉå~ä= íê~åëéä~åí~íáçåK= kçÄçÇó= Ü~ë= ãÉåíáçåÉÇ=áí=íçÇ~óI=Äìí=f=ÑçìåÇ=áå=íÜÉ=äáíÉê~íìêÉ=~å=çêáÖáå~ä=~ëëìãéíáçå=íÜ~í=íÜÉ= ÜÉ~êí= ãáÖÜí= ÄÉI= ~åÇ= íÜáë= áë= íÜÉ= éÜê~ëÉ= íÜ~í= ï~ë= ìëÉÇI= Ú~= éêáîáäÉÖÉÇ= çêÖ~åÛ= íÜ~í= ïçìäÇ= åçí= ÄÉ= ëìÄàÉÅí= íç= êÉàÉÅíáçå= äáâÉ= çíÜÉê= çêÖ~åë= ~êÉ= Ó= ~å= ~ëëìãéíáçå= íÜ~í= ÇçÉëåÛí=ëÉÉã=íç=ÄÉ=ëÅáÉåíáÑáÅ~ääó=Ä~ëÉÇ=~åÇ= íÜ~í= éêçîÉÇ= Ñ~äëÉK= qÜÉ= ãçê~íçêáìã= Éåí~áäÉÇ= ~= ãáñíìêÉ= çÑ= êÉëéçåëÉë= íç= ÇáÑÑÉêÉåí= âáåÇë= çÑ= éêÉëëìêÉ= Ñêçã== éÜóëáÅá~å= áåîÉëíáÖ~íçêë= íÜÉãëÉäîÉëI= ÅçääÉ~ÖìÉëI= ãÉÇáÅ~ä= áåëíáíìíáçåëI= é~íáÉåíë== ~åÇ=íÜÉáê=Ñ~ãáäáÉëK= få=íÜÉ=Å~ëÉ=çÑ=aê=máÉêêÉ=dêçåÇáåVV= áå= jçåíê¨~äI= `~å~Ç~I= ïÜç= Å~ääÉÇ= ~= ãçê~íçêáìã= çå= Å~êÇá~Å= íê~åëéä~åí~íáçåI= éêÉëëìêÉ= ìéçå= Üáã= Å~ãÉ= Ñêçã= Üáë=çïå= Üçëéáí~ä=~åÇ=~äëç=Ñêçã=ïÜ~í=íÜÉ=cêÉåÅÜ=ãáÖÜí=Å~ää=Ú~=éêáëÉ=ÇÉ=ÅçåëÅáÉåÅÉÛ=çå=Üáë= çïå= é~êíK= eÉ= ï~ë= îÉêó= ~ÇãáêáåÖ= çÑ= aê= aÉåíçå= `ççäÉó= ~åÇ= ~ë= aê= `ççäÉóÛë= ãçêí~äáíó=ê~íÉ=Öçí=ãçêÉ=~åÇ=ãçêÉ=Ç~ìåíáåÖI=Üáë=êçäÉ=ãçÇÉä=ëÉÉãÉÇ=äÉëë=~åÇ=äÉëë= ÉñÉãéä~êó= íç= Üáã= áå= íÜ~í= êÉÖ~êÇK= _ìí= aê= `ççäÉó= ÜáãëÉäÑI= ~ë= ÜÉ= éìí= áí= ê~íÜÉê= áåÉäÉÖ~åíäó= ~í= íÜÉ= íáãÉI= ëíçééÉÇ= ÇçáåÖ= ÜÉ~êí= íê~åëéä~åíë= ÄÉÅ~ìëÉ= ÚÜáë= ëíêÉ~ã= çÑ= Ççåçêë= Ü~Ç= ÇêáÉÇ= ìéKÛ= f= ~ëëìãÉ= íÜ~í= ïÜ~í= ï~ë= Ü~ééÉåáåÖ= áë= íÜ~í= Üáë= ÅçääÉ~ÖìÉë= ïÉêÉ=åçí=êÉÑÉêêáåÖ=é~íáÉåíë=íç=Üáã=~åó=ãçêÉ=Ñçê=Å~êÇá~Å=íê~åëéä~åíë=íÜÉ=ï~ó=íÜÉó= Ü~Ç=ÄÉÑçêÉI=~åÇ=íÜ~í=éÉêÜ~éë=é~íáÉåíëI=~åÇ=é~íáÉåíëÛ=Ñ~ãáäáÉëI=ïÉêÉ=äÉëë=ÉåíÜìëá~ëíáÅ= ~Äçìí=íÜáë=éêçÅÉÇìêÉK==

======VU= aê= qÜçã~ë= pí~êòä= EÄK= NVOSF= ï~ë= `ÜáÉÑ= çÑ= pìêÖÉêó= ~í= íÜÉ= sÉíÉê~åë= ^Çãáåáëíê~íáçå= eçëéáí~äI= aÉåîÉêI= ~åÇ= mêçÑÉëëçê= çÑ= pìêÖÉêó= ~í= íÜÉ= råáîÉêëáíó= çÑ= `çäçê~Çç= pÅÜççä= çÑ= jÉÇáÅáåÉI= aÉåîÉêI= Ñêçã=NVSQ=íç=NVUMI=ïÜÉå=ÜÉ=ãçîÉÇ=íç=íÜÉ=råáîÉêëáíó=çÑ=máííëÄìêÖÜ=jÉÇáÅ~ä=`ÉåíêÉ=~ë=aáêÉÅíçê= çÑ=íÜÉ=qê~åëéä~åí~íáçå=fåëíáíìíÉK=pÉÉ=pí~êòä=q=bK=ENVVOF=qÜÉ=mìòòäÉ=mÉçéäÉW=jÉãçáêë=çÑ=~=íê~åëéä~åí= ëìêÖÉçåK= máííëÄìêÖÜW= råáîÉêëáíó= çÑ= máííëÄìêÖÜ= mêÉëëK= pí~êòä= ëìÖÖÉëíë= íÜÉ= ãçê~íçêáìã= çå= äáîÉê= êÉéä~ÅÉãÉåí=ï~ë=áå=áíë=íÜáêÇ=óÉ~ê=~í=íÜÉ=íáãÉ=çÑ=íÜÉ=`áÄ~=ëóãéçëáìã=çå=ÉíÜáÅ~ä=éêçÄäÉãë=~êáëáåÖ= Ñêçã= íê~åëéä~åí~íáçåK= pÉÉ= tçäëíÉåÜçäãÉ= dI= lÛ`çååçê= jK= EÉÇëF= ENVSSF= bíÜáÅë= áå= jÉÇáÅ~ä== mêçÖêÉëëW=táíÜ=ëéÉÅá~ä=êÉÑÉêÉåÅÉ=íç=íê~åëéä~åí~íáçåK=^=`áÄ~=cçìåÇ~íáçå=_äìÉéêáåíK=içåÇçåW=g=C=^= `ÜìêÅÜáää=iíÇK== VV=aê=máÉêêÉ=dêçåÇáå=~í=íÜÉ=jçåíê¨~ä=eÉ~êí=fåëíáíìíÉ=~ÖêÉÉÇ=íç=~=ãçê~íçêáìã=ÑçääçïáåÖ=éêÉëëìêÉ= Ñêçã=íÜÉ=aáêÉÅíçê=çÑ=Üáë=fåëíáíìíÉI=Üáë=ÅçääÉ~ÖìÉë=~åÇ=íÜÉ=íê~åëéä~åí=ÅçããáííÉÉK=^ää=åáåÉ=çÑ=Üáë= ÜÉ~êí=êÉÅáéáÉåíë=ÇáÉÇK=çéK=ÅáíK=åçíÉ=VQ=~ÄçîÉI=NQQK=

45 Early Heart Transplant Surgery in the UK

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46 = Early Heart Transplant Surgery in the UK

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======NMQ=_~áäÉó=i=iI=kÉÜäëÉåJ`~åå~êÉää~=p=iI=`çåÅÉéÅáçå=tI=gçääÉó=t=_K=ENVURF=_~ÄççåJíçJÜìã~å= Å~êÇá~Å= ñÉåçíê~åëéä~åí~íáçå= áå= ~= åÉçå~íÉK= gçìêå~ä= çÑ= íÜÉ= ^ãÉêáÅ~å= jÉÇáÅ~ä= ^ëëçÅá~íáçå= ORQW== PPONÓPPOVK=qÜÉ=êÉÅáéáÉåí=ëìêîáîÉÇ=OM=Ç~óëK= NMR=^=ã~äÉ=~åÉåÅÉéÜ~äáÅ=áåÑ~åí=ï~ë=ìëÉÇ=~ë=~=Ççåçê=çå=S=aÉÅÉãÄÉê=NVST=áå=j~áãçåáÇÉë=jÉÇáÅ~ä= `ÉåíêÉI= _êççâäóåI= kÉï= vçêâK= pÉÉ= h~åíêçïáíò= ^I= e~ääÉê= g= aI= gççë= eI= `Éêêìíá= j= jI== `~êëíÉåëÉå=e=bK=ENVSUF=qê~åëéä~åí~íáçå=çÑ=íÜÉ=ÜÉ~êí=áå=~å=áåÑ~åí=~åÇ=~å=~ÇìäíK=^ãÉêá~å=gçìêå~ä= çÑ=`~êÇáçäçÖó=OOW=TUOÓTVMK= NMS=dçäÇëãáíÜI=j=cK=ENVUUF=^åÉåÅÉéÜ~äáÅ=çêÖ~å=Ççåçê=éêçÖê~ã=ëìëéÉåÇÉÇ=Ó=içã~JiáåÇ~=êÉéçêí= ÉñéÉÅíÉÇ=íç=ÇÉí~áä=ÑáåÇáåÖëK=gçìêå~ä=çÑ=íÜÉ=^ãÉêáÅ~å=jÉÇáÅ~ä=^ëëçÅá~íáçå=OSMW=NSTNÓNSTOK== NMT=aê=táääá~ã=aÉsêáÉë=áåëÉêíÉÇ=~=éÉêã~åÉåí=~êíáÑáÅá~ä=ÜÉ~êíI=ÇÉëáÖåÉÇ=Äó=oçÄÉêí=g~êîáâI=áå=~=SNJ óÉ~êJçäÇ= é~íáÉåí= çå= N= aÉÅÉãÄÉê= NVUO= ~í= íÜÉ= råáîÉêëáíó= çÑ= rí~ÜK= qÜÉ= é~íáÉåí= äáîÉÇ= NNO= Ç~óëK= líÜÉê=ÇÉëáÖåë=ïÉêÉ=áãéä~åíÉÇ=ìåíáä=íÜÉ=ca^=ëìëéÉåÇÉÇ=íÜÉáê=ìëÉ=áå=NVVMK=mêçÑÉëëçê=oÉå¨É=cçñ= ïêçíÉW= Úaê= táääá~ã= aÉsêáÉë= ÇáÇ= åçí= çåäó= éÉêÑçêã= íÜÉ= áãéä~åí= çÑ= ~= g~êîáâJT= ~êíáÑáÅá~ä= ÜÉ~êí= áå= _~êåÉó= `ä~êâ= çå= aÉÅÉãÄÉê= NJOI= NVUOI= ~í=íÜÉ=råáîÉêëáíó=çÑ=rí~Ü=jÉÇáÅ~ä=`ÉåíêÉ=áå=p~äí=i~âÉ= `áíóK= pìÄëÉèìÉåíäóI= ~í= íÜÉ= eìã~å~= eçëéáí~ä= ^ìÇìÄçå= áå= içìáëîáääÉI= hÉåíìÅâóI= ÜÉ= áãéä~åíÉÇ= g~êîáâJT=~êíáÑáÅá~ä=ÜÉ~êíë=áå=táääá~ã=pÅÜêçÉÇÉê=çå=kçîÉãÄÉê=ORI=NVUQ=EïÜç=ëìêîáîÉÇ=SOM=Ç~óëFX= áå=jìêê~ó=e~óÇçåI=çå=cÉÄêì~êó=NTI=NVUR=EïÜç=ëìêîáîÉÇ=QUU=Ç~óëFX=~åÇ=áå=g~Åâ=_ìêÅÜ~ãI=çå== ^éêáä= NQI= NVUR= EïÜç= äáîÉÇ= çåäó= NM= Ç~óë= éçëíJçéÉê~íáîÉäóFKÛ= iÉííÉê= íç= jêë= içáë= oÉóåçäÇëI== OU= j~êÅÜ= NVVVK= çéK= ÅáíK= åçíÉ= VP= ~ÄçîÉI= VRÓNRPK= cçê= ~= êÉÅÉåí= Üáëíçêó= çÑ= ~ííÉãéíë= íç= éêçÇìÅÉ== ~å= ~êíáÑáÅá~ä= Üìã~å= ÜÉ~êíI= ëÉÉ= íÜÉ= __`O= eçêáòçå= éêçÖê~ããÉI= ÚbäÉÅíêáÅ= eÉ~êíÛI= Äêç~ÇÅ~ëí= çå== NU=cÉÄêì~êó=NVVVK==

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 Early Heart Transplant Surgery in the UK

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50 = Early Heart Transplant Surgery in the UK

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Dr David TyrrellWNNP=fÛÇ=äáâÉI=áÑ=f=ã~óI=páêI=íç=í~âÉ=~=ïáÇÉê=îáÉï=çÑ=íÜáë=éêçÄäÉãK= fÛÇ=äáâÉ=íç=Å~ää=áíI=Ú^=é~ìëÉ=Ñçê=íÜçìÖÜíÛ=áå=íÜÉ=áåíêçÇìÅíáçå=çÑ=åÉï=íÉÅÜåçäçÖáÉë= ~åÇ= åÉï= ãÉÇáÅáåÉëI= ÄÉÅ~ìëÉ= f= Ü~îÉ= ëÉÉå= áí= áå= ÇáÑÑÉêÉåí= ÅçåíÉñíëK= cçê= áåëí~åÅÉI= É~êäó=áå=íÜÉ=ÇÉîÉäçéãÉåí=çÑ=ãçäÉÅìä~ê=ÄáçäçÖóI=áí=ï~ë=ÑçìåÇ=íÜ~í=óçì=ÅçìäÇ=éìí= Üìã~å=ÖÉåÉë=áåíç=bëÅÜÉêáÅÜá~=ÅçäáK=qÜÉêÉ=ï~ë=ÖêÉ~í=ÉñÅáíÉãÉåí=~åÇ=íÜÉêÉ=ï~ë=ÖêÉ~í= ~ééêÉÜÉåëáçåI=~åÇ=áå=Ñ~Åí=~=ãçê~íçêáìã=ï~ë=Å~ääÉÇK=qÜÉ=ãÉëë~ÖÉ=Å~ãÉ=ÑçêíÜ=Ñêçã= `~äáÑçêåá~I=ÚpíçéI=ÄÉÅ~ìëÉ=ïÉ=êÉ~ääó=åÉÉÇ=íç=âåçï=ïÜ~í=ïÉ=~êÉ=ÇçáåÖ=ÄÉÑçêÉ=ïÉ= éêçÅÉÉÇ=~åó=ÑìêíÜÉêKÛ=få=ëçãÉ=éä~ÅÉë=íÜÉêÉ=ï~ë=ëçãÉ=ÇÉÖêÉÉ=çÑ=äÉÖ~ä=Åçåíêçä=çîÉê= áíI=Äìí=Äó=~åÇ=ä~êÖÉ=áí=ï~ë=~å=Éñ~ãéäÉ=çÑ=íÜÉ=ëÅáÉåíáëíë=ë~óáåÖI=ÚiÉíÛë=ëáí=Ççïå=~åÇ= íÜáåâ= Üçï= ïÉ= Å~å= ÅçåÇìÅí= ëìÅÜ= ÉñéÉêáãÉåíë= ïáíÜçìí= ÉåÇ~åÖÉêáåÖ= éÉçéäÉKÛ= tÉ= ÇáÇåÛí=ï~åí=bKÅçäá=áå=çìê=ÑççÇ=~åÇ=éÉêÜ~éë=éçìêáåÖ=çìí=áåëìäáå=~åÇ=ÇçáåÖ=ìë=ÖêÉ~í= Ü~êãK=pç=íÜÉêÉ=ïÉêÉ=ÅçããáííÉÉë=ãÉÉíáåÖ=ÉîÉêóïÜÉêÉ=~åÇ=í~äâáåÖ=ïáíÜçìí=Ñ~Åíë=~= äçí=çÑ=íÜÉ=íáãÉ=~åÇ=ÖìÉëëáåÖ=èìáíÉ=ïêçåÖäó=~Äçìí=Üçï=ê~éáÇäó=íÉÅÜåáèìÉë=ïçìäÇ= áãéêçîÉ=~åÇ=íÜ~í=íÜÉêÉ=ïçìäÇ=ÄÉ=ÄÉåÉÑáíë=~åÇ=åçí=àìëí=Çáë~Çî~åí~ÖÉëK=tÜÉå=f=ï~ë= áåîçäîÉÇ=ïáíÜ=íÜÉ=kìÑÑáÉäÇ=cçìåÇ~íáçå=çåÉ=çÑ=íÜÉ=íÜçìÖÜíë=çÑ=íÜÉ=qêìëíÉÉë=ï~ë= íÜ~í=ïÉ=ëÉÉã=íç=äÉ~îÉ=íÜÉëÉ=íÜáåÖë=ìåíáä=íÜÉ=ÇáëÅçîÉêó=áë=ã~ÇÉ=~åÇ=íÜÉå=ïÉ=Ü~îÉ=~= é~åáÅK=tçìäÇåÛí=áí=ÄÉ=ÄÉííÉê=áÑ=ïÉ=íêáÉÇ=íç=~åíáÅáé~íÉ=~=åÉï=~Çî~åÅÉ=áå=ÄáçäçÖó=çê= ãÉÇáÅáåÉ=~åÇ=íÜáåâ=~Äçìí=íÜÉ=áãéäáÅ~íáçåëI=ÉíÜáÅ~äI=éê~ÅíáÅ~ä=ÑáêëíI=ëç=íÜ~í=ïÜÉå= íÜÉ=åÉï=ëáíì~íáçå=~êêáîÉÇ=ïÉ=ïçìäÇ=åçí=Ü~îÉ=~=ëìÇÇÉå=ëíçéK=tÉ=ÅçìäÇ=ë~ó=ïÉ=Ü~Ç= íÜçìÖÜí=íÜáë=íÜêçìÖÜ=~åÇ=ïÉ=~ÖêÉÉÇ=Üçï=íç=éêçÅÉÉÇK=qÜ~í=ï~ë=íÜÉ=ã~áå=êÉ~ëçå= Ñçê=íÜÉ=kìÑÑáÉäÇ=`çìåÅáä=çå=_áçÉíÜáÅë=ÄÉáåÖ=ëÉí=ìéI=íÜçìÖÜ=áí=ï~ë=é~êíäó=ÄÉÅ~ìëÉ= íÜÉ=dçîÉêåãÉåí=ÇáÇåÛí=ï~åí=íç=Çç=áíK=_ìí=f=Çç=íÜáåâ=áí=Ü~ë=éêçîÉÇ=íç=ÄÉ=~=ÖççÇ= áÇÉ~=ÇáÑÑáÅìäí=íç=áãéäÉãÉåíK=jó=íÜçìÖÜí=~í=íÜÉ=ãçãÉåí=áë=íç=äççâ=Ä~Åâ=~í=ïÜ~íÛë= Ü~ééÉåÉÇ=áå=Å~êÇá~Å=ëìêÖÉêó=~åÇ=éÉêÜ~éë=ëÉÉ=áÑ=çåÉ=Å~å=äÉ~êå=Ñêçã=íÜ~í=Üçï=íç=ìëÉ= íÜáë=íóéÉ=çÑ=ãÉÅÜ~åáëã=ãçêÉ=ÉÑÑÉÅíáîÉäó=áå=ÑìíìêÉK=f=íÜáåâ=ëçãÉíÜáåÖ=äáâÉ=íÜáë=áë=

======NNP= aê= a~îáÇ= qóêêÉää= `_b= cop= co`m= co`m~íÜ= ENVORÓOMMRFI= éÜóëáÅá~åI= îáêçäçÖáëíI= éêÉîáçìëäó= aáêÉÅíçê=çÑ=íÜÉ=jo`=`çããçå=`çäÇ=råáíI=p~äáëÄìêóI=Ñêçã=NVUO=íç=NVVM=~åÇ=aÉéìíó=aáêÉÅíçê= çÑ=íÜÉ=`äáåáÅ~ä=oÉëÉ~êÅÜ=`ÉåíêÉI=e~êêçïK=eÉ=ëÉêîÉÇ=~ë=~=qêìëíÉÉ=çÑ=íÜÉ=kìÑÑáÉäÇ=cçìåÇ~íáçå=Ñêçã= NVTT=íç=NVVO=~åÇ=çå=ÅçããáííÉÉë=ÅçåÅÉêåÉÇ=ïáíÜ=ÅäáåáÅ~ä=êÉëÉ~êÅÜ=ÉíÜáÅëI=ÖÉåÉíáÅ=ã~åáéìä~íáçå= ~åÇ= ìëÉ= çÑ= Ç~åÖÉêçìë= é~íÜçÖÉåëK= pÉÉ= q~åëÉó= b= jI= oÉóåçäÇë= i= ^K= EÉÇëF= ENVVUF= qÜÉ= jo`= `çããçå=`çäÇ=råáíK=få=q~åëÉó=b=jI=`ÜêáëíáÉ=a=`I=oÉóåçäÇë=i=^K=EÉÇëF=tÉääÅçãÉ=táíåÉëëÉë=íç= qïÉåíáÉíÜ=`Éåíìêó=jÉÇáÅáåÉI=îçäK=OK=içåÇçåW=tÉääÅçãÉ=qêìëíI=OMVÓOSUK=xìéÇ~íÉÇ=NVLNLMSz=

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 Early Heart Transplant Surgery in the UK

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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

fÑ=f=Å~å=éìí=íÜáë=êÉã~êâ=íç=qÉêÉåÅÉK=fÑ=óçì=Å~å=íê~åëéçëÉ=óçìêëÉäÑ=Ñêçã=íçÇ~ó=íç= NVUMI=ïÜÉå=óçì=ïÉêÉ=áå=íÜÉ=íÜáÅâ=çÑ=ïÜ~í=ëçìåÇë=äáâÉ=~å=~ïÑìä=ÇáäÉãã~=~Äçìí= ïÜ~í=ëÜçìäÇ=ÄÉ=ÇçåÉ=~åÇ=áÑ=óçì=ïÉêÉ=íç=éçáåí=çìí=ïÜ~í=óçì=ïçìäÇ=Çç=áÑ=óçì=ïÉêÉ= Ä~Åâ= áå= NVUMI= ïÜ~í= ëíÉéI= ïÜ~í= ëáåÖäÉ= ãçëí= áãéçêí~åí= ëíÉéI= ïçìäÇ= óçì= í~âÉ= íç= ëÜçêíÉå= íÜÉ= áåíÉêî~ä= ÄÉíïÉÉå= NVUMI= íÜÉ= NVUMë= íç= NVVMI= ~åÇ= íÜÉêÉ~ÑíÉêI= ïÜÉå= Å~êÇá~Å=íê~åëéä~åí~íáçå=~ééÉ~êÉÇ=íç=Ü~îÉ=~=åÉï=äáÑÉK=fí=ã~ó=ÄÉ=áããìåçäçÖóI=Äìí=f= ÇçåÛí=íÜáåâ=ëçI=ÄÉÅ~ìëÉ=éê~ÅíáÅ~ääó=ÉîÉêóíÜáåÖ=óçì=êÉÑÉêêÉÇ=íç=áå=áããìåçäçÖó=ï~ë= ~äêÉ~Çó=ïÉää=âåçïå=Äó=NVUM=~åÇ=óÉí=ïÜó=ï~ë=áí=åçí=~ééäáÉÇI=ï~ë=íÜÉêÉ=~åó=ëçêí=çÑ= áåíÉêåÉÅáåÉ=ï~ê=ÄÉíïÉÉå=Å~êÇáçäçÖáëíë=~åÇ=áããìåçäçÖáëíëI=ï~ë=íÜÉêÉ=~åó=éÉêëçå~ä= áåíÉêåÉÅáåÉ=ï~ê=ÄÉíïÉÉå=ÅçãéÉíáåÖ=ÉäÉãÉåíë\=

EnglishW=f=ïáää=íêó=~åÇ=~åëïÉê=íÜ~í=èìÉëíáçåI=t~äíÉêI=Äìí=f=ëìëéÉÅí=íÜ~í=f=ãáÖÜí=åçí= ~åëïÉê=áí=îÉêó=ë~íáëÑ~ÅíçêáäóK=fÑ=f=éçëáíáçå=ãóëÉäÑ=~í=íÜÉ=ÄÉÖáååáåÖ=çÑ=NVUM=áå=íÜÉ= rhI=f=ëÉÉ=~=ëáíì~íáçå=áå=ïÜáÅÜ=íÜÉêÉ=Ü~îÉ=ÄÉÉå=íÜêÉÉ=íê~åëéä~åíë=ÇçåÉX=íÜÉ=Ñáêëí= çåÉ= Ñ~áäÉÇI= íÜÉ= ëÉÅçåÇ= íïç= ~éé~êÉåíäó= ëìÅÅÉëëÑìäK= qÜÉêÉ= Ü~Ç= ÄÉÉå= íÜáë= Ö~é= çÑ= åÉ~êäó=íÉå=óÉ~êë=ÄÉíïÉÉå=íÜÉ=ãçê~íçêáìã=~åÇ=íÜÉ=êÉëí~êíáåÖK=`Éêí~áåäó=f=ÑÉäí=ìåÇÉê= Éåçêãçìë= êÉëéçåëáÄáäáíó= íç= íêó= ~åÇ= ÖÉí= áí= êáÖÜí= íÜáë= íáãÉK= kçí= àìëí= íÜÉ= áããìåçäçÖó=~åÇ=íÜÉ=ÖÉåÉê~ä=ã~å~ÖÉãÉåíI=Äìí=íÜÉ=éìÄäáÅáíó=~åÇ=ëçãÉ=çÑ=íÜÉ= çíÜÉê=íÜáåÖë=íÜ~í=ïÉ=ïÉêÉ=í~äâáåÖ=~Äçìí=É~êäáÉêK=^åÇ=~í=íÜÉ=ë~ãÉ=íáãÉ=íÜÉêÉ=ï~ë=~= ÅçåëáÇÉê~ÄäÉ=~åñáÉíó=~ãçåÖëí=íÜÉ=ãÉÇáÅ~ä=éêçÑÉëëáçå=íÜ~í=áí=ï~ëåÛí=ÖçáåÖ=íç=ïçêâK= cçêÉãçëí=ïáíÜáå=íÜ~í=Öêçìé=ïÉêÉ=ëçãÉ=Å~êÇáçäçÖáëíë=ïÜç=êÉ~ääó=ÇáÇåÛí=íÜáåâ=íÜ~í= áí=ï~ë=ÖçáåÖ=íç=ÄêáåÖ=~åóíÜáåÖ=Äìí=ÑìêíÜÉê=éêçÄäÉãë=~åÇ=ÇáëêÉéìíÉI=~åÇ=íÜáë=~åÇ= áíë= áãé~Åí= çå= éìÄäáÅ= çéáåáçå= ï~ë= íÜÉ= ãçëí= áãéçêí~åí= áëëìÉ= ~í= íÜ~í= íáãÉK= qÜÉ= ÄáÖÖÉëí= éêçÄäÉã= Ñçê= çìê= éêçÖê~ããÉ= Å~ãÉ= áå= pÉéíÉãÄÉê= NVUMI= ïÜÉå= jáÅÜ~Éä= mÉíÅÜNNSI= ~ÑíÉê= îÉêó= Å~êÉÑìä= íÜçìÖÜíI= ÇÉÅáÇÉÇ= íÜ~í= ÜÉ= ï~ë= ÖçáåÖ= íç= ïáíÜÇê~ï= Üáë= Å~êÇáçäçÖáÅ~ä=ëìééçêíK=ré=ìåíáä=íÜ~í=íáãÉ=ÜÉ=Ü~Ç=ÄÉÉå=é~êí=çÑ=áí=x~ë=Å~êÇáçäçÖáëízK= tÉ=Ü~Ç=~ëëÉëëÉÇ=~ää=íÜÉ=é~íáÉåíë=íçÖÉíÜÉê=~åÇ=çåäó=~ÅÅÉéíÉÇ=~=êÉÅáéáÉåí=áÑ=ïÉ=ÄçíÜ= ~ÖêÉÉÇ=íÜ~í=áí=ï~ë=íÜÉ=êáÖÜí=íÜáåÖ=íç=ÇçI=ëç=íÜÉêÉ=ï~ë=~=ÅçãéäÉíÉ=ëÜ~êáåÖ=çÑ= êÉëéçåëáÄáäáíó= Ñçê= êÉÅáéáÉåíëK= få= pÉéíÉãÄÉê= NVUMI= ~åÇ= f= íÜáåâ= ä~êÖÉäó= ìåÇÉê= éêÉëëìêÉ=Ñêçã=Üáë=íïç=ÅçääÉ~ÖìÉëI=ÜÉ=ÇÉÅáÇÉÇ=íÜ~í=ÜÉ=ï~åíÉÇ=íç=éìää=çìíK=f=Ü~îÉ=åç= ÇçìÄí=íÜ~í=~í=íÜ~í=íáãÉ=aê=bî~åë=ÑÉäí=íÜ~í=íÜáë=ïçìäÇ=~Åíì~ääó=éìí=~=ëíçé=íç=íÜÉ= éêçÖê~ããÉI= ÄÉÅ~ìëÉ= ÜÉ= ÑÉäí= íÜ~í= ïÉ= ÅçìäÇåÛí= äÉÖáíáã~íÉäó= Öç= çå= ïáíÜçìí= ~= Å~êÇáçäçÖáëíK=eçïÉîÉêI=gçÜå=dççÇïáåNNT=ïêçíÉ=íç=ãÉ=~åÇ=ë~áÇI=ÚqÜÉêÉ=~êÉ=íÜçëÉ=çÑ= ìë= ïáíÜáå= íÜÉ= Å~êÇáçäçÖáÅ~ä= Åçããìåáíó=ïÜç=ïçìäÇ=åçí=äáâÉ=íç=ëÉÉ=Å~êÇá~Å= íê~åëéä~åí~íáçå=ëíçééáåÖ=áå=_êáí~áå=~í=íÜáë=íáãÉI=~åÇ=áÑ=óçì=åÉÉÇ=~åó=ëìééçêí=ïáíÜ= êÉÖ~êÇ=íç=~ëëÉëëáåÖ=é~íáÉåíë=çê=ÜÉäéI=f=~ã=éêÉé~êÉÇ=íç=ÅçãÉ=íç=m~éïçêíÜI=çê=óçì= ëÉåÇ= íÜÉ= é~íáÉåíë= íç= íÜÉ= e~ããÉêëãáíÜKÛ= qÜ~í= ëìééçêíI= ÅçãáåÖ= ~í= íÜ~í= ÅêáíáÅ~ä= ãçãÉåí=ï~ë=áããÉåëÉäó=áãéçêí~åíI=ÄÉÅ~ìëÉ=áí=~ääçïÉÇ=ìë=íç=Öç=çåI=ÑÉÉäáåÖ=íÜ~í=ïÉ======NNS= jáÅÜ~Éä= mÉíÅÜ= ï~ë= `çåëìäí~åí= `~êÇáçäçÖáëíI= `~ãÄêáÇÖÉëÜáêÉ= ^êÉ~= eÉ~äíÜ= ^ìíÜçêáíó= EqÉ~ÅÜáåÖFI=~åÇ=b~ëí=^åÖäá~å=oÉÖáçå~ä=eÉ~äíÜ=^ìíÜçêáíóK= NNT=çéK=ÅáíK=åçíÉ=US=~ÄçîÉK=

55 Early Heart Transplant Surgery in the UK

Ü~Ç= íÜÉ= ãçê~ä= ëìééçêí= ïÉ= åÉÉÇÉÇK= tÉ= ëíáää= Ü~Ç= íç= êìå= ~= ëÉêîáÅÉ= áå= ïÜáÅÜ= íÜÉ= ëìêÖÉçåë=ÇáÇ=ÉîÉêóíÜáåÖ=íÜ~í=Å~êÇáçäçÖáëíë=ïçìäÇ=åçêã~ääó=ÇçI=ëìÅÜ=~ë=êáÖÜí=ÜÉ~êí= Å~íÜÉíÉêëI= íÜÉ= Å~êÇá~Å= ÄáçéëáÉë= ~åÇ= ëç= çå= ~åÇ= áå= Ñ~Åí= äççâáåÖ= Ä~Åâ= çå= áíI= ~åÇ= f= íÜáåâ=íÜáë=ï~ë=~Åíì~ääó=~=ÖççÇ=íÜáåÖI=ÄÉÅ~ìëÉ=åçí=çåäó=ÇáÇ=ïÉ=äÉ~êå=íç=ã~å~ÖÉ= ÉîÉêóíÜáåÖI=Äìí=~äëç=Öçí=êÉÑÉêê~äë=Ñêçã=Å~êÇáçäçÖáëíë=ïÜç=ïÉêÉ=ãçêÉ=éêÉé~êÉÇ=íç= êÉÑÉê= é~íáÉåíë= íç= ~= ëìêÖáÅ~ä= íê~åëéä~åí= íÉ~ã= íÜ~å= íç= ~åçíÜÉê= Å~êÇáçäçÖáëí== ~ëëçÅá~íÉÇ= ïáíÜ= ~= ëìêÖáÅ~ä= íê~åëéä~åí= íÉ~ãK= ^åÇ= ëç= f= íÜáåâ= íÜÉêÉ= ï~ëI= ~í= íÜ~í= é~êíáÅìä~ê= íáãÉ= çÑ= ÇÉîÉäçéãÉåíI= ëçãÉ= ãÉêáí= áå= çìê= ÄÉáåÖ= çå= çìê= çïåK= kçï= Ü~ééáäó=íÜ~í=ÇáÇåÛí=ä~ëíI=ÄÉÅ~ìëÉ=áå=NVTT=ïÉ=Öçí=~=Å~êÇáçäçÖáëí=~ëëçÅá~íÉÇ=ïáíÜ=íÜÉ= éêçÖê~ããÉ= ~åÇ= íÜ~í= çÄîáçìëäó= Ü~ë= ÄÉÉå= çÑ= ÖêÉ~í= ÄÉåÉÑáíK= _ìí= íÜ~í= ï~ë= íÜÉ= ÄáÖ= íìêåáåÖ=éçáåíI=áå=NVUMK=

WallworkW=f=êÉãÉãÄÉêI=ÜçïÉîÉêI=~åçíÜÉê=ëáÇÉ=íç=íÜ~í=áå=íÜ~í=f=ï~ë=~í=pí~åÑçêÇ=~í= íÜÉ=íáãÉ=~åÇ=qÉêÉåÅÉ=éÜçåÉÇ=ìé=pÜìãï~ó=~åÇ=ë~áÇI=ÚiççâI=ïÜ~í=Çç=f=ÇçI=ãó= Å~êÇáçäçÖáëí=Ü~ë=éìääÉÇ=çìí\Û=~åÇ=pÜìãï~ó=ë~áÇI=ÚdêÉ~íI=Üçï=ÇáÇ=óçì=ã~âÉ=íÜÉã= Çç= íÜ~í\= xi~ìÖÜíÉêz= `~êêó= çåÛI= ïÜáÅÜ= f= íÜçìÖÜí= ï~ë= ~äëç= Éèì~ääó= ÖççÇ= ÉåÅçìê~ÖÉãÉåíK=f=~äëç=êÉãÉãÄÉê=~í=íÜÉ=íáãÉ=íÜÉ=j~óç=`äáåáÅ=ÇÉÅáÇÉÇ=íÜ~í=íÜÉó= ï~åíÉÇ= íç= Çç= ÜÉ~êí= íê~åëéä~åí~íáçå= ~åÇ= íÜÉó= ÄêçìÖÜí= êçìåÇ= ~= Å~êÇáçäçÖáëíI= ~å= áããìåçäçÖáëíI=~=êÉëéáêçäçÖáëíI=~=Ä~ÅíÉêáçäçÖáëíI=~=ëìêÖÉçå=~åÇ=f=ÇçåÛí=âåçï=ïÜç= ÉäëÉK= qÜÉó= ïÉêÉ= ÖçáåÖ= íç= Çç= ï~êÇ= êçìåÇë= Äó= ÅçããáííÉÉI= ~åÇ= ïÉ= Éñéä~áåÉÇ= íç= íÜÉã=íÜ~í=çåÉ=éÉêëçå=ã~âÉë=ÇÉÅáëáçåë=~åÇ=íÜ~íÛë=Üçï=íÜÉ=pí~åÑçêÇ=éêçÖê~ããÉ= ~Åíì~ääó=ã~ÇÉ=áí=ïçêâ=~åÇ=íÜ~íÛë=Üçï=f=íÜáåâ=qÉêÉåÅÉÛë=éêçÖê~ããÉ=ã~ÇÉ=áí=ïçêâ= ~åÇ=~í=íÜÉ=ÉåÇ=çÑ=íÜÉ=Ç~ó=çåÉ=éÉêëçå=ã~ÇÉ=~=ÇÉÅáëáçåK=tÜÉå=íÜÉêÉ=ïÉêÉ=ãçêÉ= éÉçéäÉ=~í=m~éïçêíÜI=ïÉ=Ü~Ç=~=ÅçåÑäáÅí=çÑ=ÇÉÅáëáçåJã~âáåÖ=~ãçåÖ=Åçåëìäí~åíëI=ëç= ïÉ=ã~ÇÉ=áí=íÜÉ=ëÉåáçê=êÉÖáëíê~ê=ï~ë=íÜÉ=çåäó=éÉêëçå=ïÜç=ÅçìäÇ=ïêáíÉ=~åó=çêÇÉêë=çå= ~=é~íáÉåíK=pç=áí=ëíçééÉÇ=~ää=íÜáë=ÄáíJéä~óáåÖI=ïÜáÅÜ=áë=ïÜ~í=ï~ë=íÜÉ=ÇÉëíêìÅíáçå=çÑ= ã~åó= íê~åëéä~åí= éêçÖê~ããÉë= Ó= íçç= ã~åó=éÉçéäÉI=ã~âáåÖ=íçç=ã~åó=ëáääó= ÇÉÅáëáçåëI=ïáíÜçìí=äççâáåÖ=~í=íÜÉ=ïÜçäÉK==

TreasureW=f=ïçìäÇ=äáâÉ=íç=ÄêáåÖ=oÉå¨É=Ä~ÅâK=_ÉÑçêÉ=f=ÇçI=óçì=ÄêçìÖÜí=áå=ãáíê~ä= ëíÉåçëáë= ~åÇ= óçì= ÅçìåíÉÇ= ìé= íÜÉ= Å~ëÉëK= kçï= áí= áë= áåíÉêÉëíáåÖ= íÜ~í= áå= íÜÉ= NVOMë= íÜÉêÉ= ïÉêÉ= íÉå= ãáíê~ä= î~äîÉ= çéÉê~íáçåë= ÇçåÉI= î~äîçíçãáÉë= ~åÇ= î~äîÉÅíçãáÉëI= ïÜ~íÉîÉê=óçì=äáâÉK=qïçI=çåÉ=çÑ=`ìíäÉêÛë=É~êäó=çåÉë=~åÇ=pçìíí~êÛë=áå=içåÇçåI=ïÉêÉ= äçåÖJíÉêã=ëìêîáîçêëI=çåÉ=Ñçê=Ñçìê=óÉ~êë=~åÇ=çåÉ=Ñçê=~Äçìí=ëáñ=çê=ëÉîÉå=óÉ~êëK=pç= íÜÉêÉ= ïÉêÉ= íïç= ëìêîáîçêë= çìí= çÑ= íÉåK= _ÉíïÉÉå= NVQR= ~åÇ= NVQU= ~äëçI= ~åÇ= f= Ü~îÉ= ÅçìåíÉÇ= íÜÉã= ìé= îÉêó= Å~êÉÑìääóI= íÜÉêÉ= ïÉêÉ= íÉå= çéÉê~íáçåë= ÇçåÉI= ÄÉÑçêÉ= _êçÅâ= ëí~êíÉÇI=Äó=_~áäÉóI=e~êâÉå=~åÇ=pãáíÜóINNU=~åÇ=íÜÉêÉ=ïÉêÉ=çåäó=íïç=ëìêîáîçêëK=fí= ï~ëåÛí=íÜÉ=åìãÄÉêë=íÜ~í=ÅÜ~åÖÉÇ=íÜÉ=ãççÇK=kçïI=çÑ=ÅçìêëÉI=íÜÉêÉ=ïÉêÉ=~=äçí=çÑ======NNU=aê=eçê~ÅÉ=pãáíÜó=ENVNQÓNVQUF=ï~ë=^ëëçÅá~íÉ=mêçÑÉëëçê=çÑ=pìêÖÉêó=~í=íÜÉ=jÉÇáÅ~ä=råáîÉêëáíó= çÑ=pçìíÜ=`~êçäáå~I=`Ü~êäÉëíçåI=pçìíÜ=`~êçäáå~I=~åÇ=ÇÉîÉäçéÉÇ=~=î~äîìäçíçãó=Ñçê=~çêíáÅ=î~äîçíçãó= áå= ~åáã~äëK= eÉ= ÇáÉÇ= Ñêçã= êÜÉìã~íáÅ= ~çêíáÅ= ëíÉåçëáëK= pÉÉ= pãáíÜó= e= dI= m~êâÉê= b= cK= ENVQTF= bñéÉêáãÉåí~ä=~çêíáÅ=î~äîìäçíçãóK=pìêÖÉêóI=dóåÉÅçäçÖó=~åÇ=lÄëíÉíêáÅë=UQW=SORÓSOUK=

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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61 Early Heart Transplant Surgery in the UK

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62 = Early Heart Transplant Surgery in the UK

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63 Early Heart Transplant Surgery in the UK

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64 = Early Heart Transplant Surgery in the UK

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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= _êçãéíçå=eçëéáí~äI=ëÉÉ=k~íáçå~ä=eÉ~êí= ^ÇÇÉåÄêççâÉÛë=eçëéáí~äI=`~ãÄêáÇÖÉI== eçëéáí~ä= PTÓPUI=QN= _ìäÖÉêI=g~ãÉëI=PM= ~ÇêÉåçÅçêíáÅçíêçéÜáÅ=ÜçêãçåÉ=E^`qeFI=RU= ~Çîáëçêó=ëóëíÉã=Ñçê=jáåáëíÉê=çÑ=eÉ~äíÜI=PS= = ^idI=ëÉÉ=~åíáäóãéÜçÅóíÉ=ÖäçÄìäáå== `~ãÄêáÇÖÉ=ÜÉ~êí=íê~åëéä~åí~íáçå= ^ipI=ëÉÉ=~åíáäóãéÜçÅóíÉ=ëÉêìã= éêçÖê~ããÉI=PTÓQOI=RRÓRS= ^ãÉêáÅ~å=gçìêå~ä=çÑ=`~êÇáçäçÖóI=Q= `~ãÄêáÇÖÉ=^êÉ~=eÉ~äíÜ=^ìíÜçêáíóI=QMI=QN= ~å~ÉëíÜÉíáëíëI=NNÓNOI=OMI=ONÓOQI=PU= `~å~Ç~I=QR= ~åÉåÅÉéÜ~äáÅ=ÇçåçêëI=QSÓQT= Å~êÇá~Å=Å~íÜÉíÉêI=SM= ~åáã~äë== `~êÇá~Å=pçÅáÉíóI=PVÓQM= = Åçåíêçä=çÑ=ÉñéÉêáãÉåíë=çåI=NM= Å~êÇá~Å=ëìêÖÉêóI=SP= = ëÉÉ=~äëç=íê~åëéä~åí=ëíìÇáÉëI= = ~ííáíìÇÉë=íçI=OUÓOVI=PMÓPOI=SM= ñÉåçíê~åëéä~åí~íáçå= = áå=`~ãÄêáÇÖÉI=PT= ^åáã~äë=EpÅáÉåíáÑáÅ=mêçÅÉÇìêÉëF=^Åí= = É~êäóI=ORI=PMI=SM= ENVUSFI=NM= = ãçê~íçêáìãI=QRÓQSI=QVI=RSÓRTI=SM= ~åíáäóãéÜçÅóíÉ=ÖäçÄìäáå=E^idFI=QM= = êçäÉ=çÑ=áåíÉåëáîÉ=Å~êÉI=NNÓNOI=ONI=SP= ~åíáäóãéÜçÅóíÉ=ëÉêìã=E^ipFI=QM= Å~êÇáçäçÖáëíë= ~åíáíÜóãçÅóíÉ=ÖäçÄìäáå=E^qdFI=NTI=QMI=RM= = ~ííáíìÇÉë=íç=Å~êÇá~Å=ëìêÖÉêóI=OUÓOVI=PMÓ ~çêíáÅ=î~äîÉI=íê~åëéä~åí=ëíìÇáÉëI=VI=OM= POI=SM= ~êíáÑáÅá~ä=ÜÉ~êíI=QTÓQU= = ëìééçêí=Ñçê=ÜÉ~êí=íê~åëéä~åíëI=PUI=RRÓRS= ^ëéÉêÖáääìë=áåÑÉÅíáçåëI=OVI=QN= Å~êÇáçãóçé~íÜóI=PU= ^qdI=ëÉÉ=~åíáíÜóãçÅóíÉ=ÖäçÄìäáå== = ÜóéÉêíêçéÜáÅI=PM= ~ìíçéëóI=ëÉÉ=éçëí=ãçêíÉã= Å~êÇáçéìäãçå~êó=Äóé~ëëI=OQI=QM= ~ò~íÜáçéêáåÉ=Efãìê~åFI=SI=NPI=RM= `~íÜçäáÅ=`ÜìêÅÜI=U= ÅÜ~êíI=éçëíJçéÉê~íáîÉI=NOI=NPÓNS= = `ÜáÉÑ=jÉÇáÅ~ä=lÑÑáÅÉê=E`jlFI=PRÓPSI=PV= Ä~Äççå=çêÖ~åëI=ëÉÉ=Ççåçê=íáëëìÉë= ÅÜáãé~åòÉÉ=çêÖ~åëI=ëÉÉ=Ççåçê=íáëëìÉë=QS= _~Äó=c~ÉI=QSÓQT= ÅáêÅìä~íáçåI=Éñíê~ÅçêéçêÉ~äI=V= Ä~ÅíÉêá~I=êÉÇìÅíáçå=çÑ=éçëíJçéÉê~íáîÉI=ON= ÅäáåáÅ~ä=íêá~äëI=é~íáÉåíJçêáÉåíÉÇI=QPÓQQ= _^im^I=ëÉÉ=_êáíáëÜ=^áê=iáåÉ=máäçíëÛ= ÅäìëíÉê=íê~åëéä~åíëI=QT= ^ëëçÅá~íáçå= `jlI=ëÉÉ=`ÜáÉÑ=jÉÇáÅ~ä=lÑÑáÅÉê= __`=íÉäÉîáëáçå=éêçÖê~ããÉëI=TÓUI=QTI=SP= ÅçåÑÉêÉåÅÉëI=éçëíJçéÉê~íáîÉ=ÅäáåáÅ~äI=NTI== ÄáçÉíÜáÅëI=QQI=RN= NVÓOMI=POI=RS= ÄáçéëóI=ÉåÇçãóçÅ~êÇá~äI=PT= Åçêçå~êó=ëìêÖÉêóI=OUI=PN= ÄäççÇ=ÖêçìéI=ê~êÉI=U= ÅçêçåÉêÛë=áåèìÉëíI=VI=POÓPP= ÄäççÇ=íê~åëÑìëáçåëI=OO= ÅçêíáëçåÉI=RU= Äê~áå=Ç~ã~ÖÉI=QMÓQN= ÅçëíëI=RO= Äê~áå=ÇÉ~íÜI=UI=OOÓOP= ÅêçëëJëéÉÅáÉë=íê~åëéä~åíëI=SI=ëÉÉ=~äëç= = ÇÉÑáåáíáçåI=POÓPQI=PUI=PV= íê~åëéä~åí=ëíìÇáÉë= = íÉäÉîáëáçå=éêçÖê~ããÉI=SP= `êìÉäíó=íç=^åáã~äë=^Åí=ENUTSFI=NM= Äê~áåJëíÉã=ÇÉ~íÜI=PUI=PV= ÅóÅäçëéçêáåI=PV= _êáíáëÜ=^áê=iáåÉ=máäçíëÛ=^ëëçÅá~íáçå= = áãéçêí~åí=êçäÉI=QPI=RMI=RTÓRUI=RVI=SMÓ E_^im^FI=OM= SN= _êáíáëÜ=eÉ~êí=cçìåÇ~íáçåI=RÓSI=QO= = ëáÇÉJÉÑÑÉÅíëI=RUI=RVI=SN= _êáíáëÜ=jÉÇáÅ~ä=gçìêå~äI=PÓQI=VI=OQÓORI=OUI= PNI=POÓPP=

67 Index: Subject

ÇÉ~íÜ= dìóÛë=eçëéáí~äI=içåÇçå= =Äê~áåI=ëÉÉ=Äê~áå=ÇÉ~íÜ= = É~êäó=Å~êÇá~Å=ëìêÖÉêóI=PM= = ÇÉÑáåáíáçåI=POÓPQI=PUI=PV= = ÜÉ~êí=íê~åëéä~åíI=NUÓOMI=OPÓOQI=OV= aÉé~êíãÉåí=çÑ=eÉ~äíÜI=ëÉÉ=aÉé~êíãÉåí=çÑ= = äìåÖ=íê~åëéä~åíI=NU= ====eÉ~äíÜ=~åÇ=pçÅá~ä=pÉÅìêáíó= aÉé~êíãÉåí=çÑ=eÉ~äíÜ=~åÇ=pçÅá~ä=pÉÅìêáíó= = EaeppFI=PRÓPSI=ROÓRQI=SQ= Ü~Éã~íçäçÖáëíëI=OO= = ÅçããáííÉÉëI=ROÓRPI=RQ= e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=SÓTI== = Åçåíêçä=çÑ=ÜÉ~êí=íê~åëéä~åíëI=PVÓQMI== ORI=PM= ===QNÓQOI=RQI=SQ= e~êÉÑáÉäÇ=eçëéáí~äI=rñÄêáÇÖÉI=jáÇÇñI=QOI= = äÉííÉê=Eãçê~íçêáìãFI=PR= RPI=SPÓSQ= = êÉÅçêÇëI=ROI=RQ= ÜÉ~êí= = pìéê~JêÉÖáçå~ä=pÉêîáÅÉë=^Çîáëçêó=dêçìéI= = ~êíáÑáÅá~äI=QTÓQU= ====SQ= = ÇçåçêI=ëÉÉ=Ççåçê=ÜÉ~êí= = qê~åëéä~åí=^Çîáëçêó=m~åÉäI=PSI=PVÓQMI= ÜÉ~êí=Ñ~áäìêÉI=êáÖÜíI=NS= QNI=RP= ÜÉ~êíÓäìåÖ=ã~ÅÜáåÉ=EjÉäêçëÉFI=ORI=PM= ÇÉéêÉëëáçåI=éçëíJçéÉê~íáîÉI=NS= ÜÉ~êíÓäìåÖ=íê~åëéä~åíëI=V= aeppI=ëÉÉ=aÉé~êíãÉåí=çÑ=eÉ~äíÜ=~åÇ= = áå=~åáã~äëI=SI=T= pçÅá~ä=pÉÅìêáíó== ÜÉ~êí=íê~åëéä~åí~íáçå= ÇçÖëI=íê~åëéä~åí=ëíìÇáÉëI=SÓTI=VI=POI== = áå=~åáã~äëI=ëÉÉ=ÉñéÉêáãÉåí~ä=ÜÉ~êí= ëÉÉ=~äëç=íê~åëéä~åí=ëíìÇáÉë= =íê~åëéä~åíëI=ëÉÉ=~äëç=íê~åëéä~åí=ëíìÇáÉë= Ççåçê=ÜÉ~êí= = ãçê~íçêáìãI=ëÉÉ=ãçê~íçêáìã= = áåëÉêíáçåI=NMÓNN= = åìãÄÉêë=çÑ=çéÉê~íáçåëI=PQI=QOÓQP= = êÉãçî~ä=éêçÅÉÇìêÉI=VI=NM= = çéÉê~íáîÉ=éêçÅÉÇìêÉI=NMÓNNI=OPÓOQ= Ççåçêë= = çééçëáíáçå=íçI=TÓUI=ONI=OQÓORI=OTÓOUI= = ~åÉåÅÉéÜ~äáÅI=QSÓQT= = = RPÓRQ= = ~ìíçéëáÉëI=ONI=OOÓOP= = éçëíJçéÉê~íáîÉ=Å~êÉI=ëÉÉ=éçëíJçéÉê~íáîÉ= = ÅçêçåÉêÛë=áåèìÉëíI=VI=POÓPP= ===ã~å~ÖÉãÉåí= = ÇÉÑáåáíáçå=çÑ=ÇÉ~íÜI=POÓPQI=PU= = ~ë=êçìíáåÉ=éê~ÅíáÅÉI=Q= = ãìäíáéäÉ=çéÉê~íáçåëI=PQ= = ëóãÄçäáÅ=å~íìêÉI=RM= = êÉä~íáîÉëI=UÓVI=NVÓOMI=RUÓRV= = Ñáêëí=Üìã~å=ENVSTFI=RI=OO= = ëÜçêí~ÖÉëI=QRI=RNI=RUÓRV= ÜÉé~êáåI=NMI=NSI=NT= = ëçìêÅÉëI=TÓVI=OPI=QM= eáëíçêó=çÑ=qïÉåíáÉíÜ=`Éåíìêó=jÉÇáÅáåÉ= = ïáíÜçìí=ÜÉ~êíëI=êÉ~Åíáçåë=íçI=NOI= dêçìéI=P= ===NSÓNTI=ON= eìã~å=qáëëìÉ=^Åí=ENVSNFI=PP= Ççåçê=íáëëìÉë= eìåíáåÖÇçå=oÉëÉ~êÅÜ=`ÉåíêÉI=PUÓPV= = Ä~Äççå=çêÖ~åëI=QS= = = ÅÜáãé~åòÉÉ=çêÖ~åëI=QS= ÚfÛã=_~ÅâáåÖ=_êáí~áåÛ=Å~ãé~áÖåI=ORI=OS= açìÖä~ë=eçìëÉI=`~ãÄêáÇÖÉI=PU= áããìåçäçÖóI=ÅäáåáÅ~äI=NTI=OVI=RR= = áããìåçëìééêÉëë~åíëI=OVI=RMI=RTÓRUI=ëÉÉ= b`d=îçäí~ÖÉëI=PT= ~äëç=~ò~íÜáçéêáåÉI=ÅóÅäçëéçêáåI=í~Åêçäáãìë= ÉÅçåçãáÅ=ÅçëíëI=RO= = É~êäó=ÑçêãëI=NPI=OM= ÉãéÜóëÉã~I=ÉåÇJëí~ÖÉI=NUÓNV= = ÉñéÉêáãÉåí~äI=PV= ÉåÇçãóçÅ~êÇá~ä=ÄáçéëóI=PT= = pí~åÑçêÇ=éêçíçÅçäI=OMI=QMI=RV= bëÅÜÉêáÅÜá~=ÅçäáI=RN= fãìê~åI=ëÉÉ=~ò~íÜáçéêáåÉ= ÉíÜáÅ~ä=áëëìÉëI=PQI=QQI=QUI=RN= áåÑÉÅíáçåI=Åçåíêçä=çÑI=ONI=ëÉÉ=~äëç=^ëéÉêÖáääìë= ÉíÜáÅë=ÅçããáííÉÉëI=QQ= áåÑÉÅíáçåë= ÉñéÉêáãÉåí~ä=ÜÉ~êí=íê~åëéä~åíëI=RÓTI=VI=NMI= áåèìÉëíI=ÅçêçåÉêÛëI=VI=POÓPP= POI=PUÓPV= fåëíáíìíÉ=çÑ=jÉÇáÅáåÉI=t~ëÜáåÖíçåI=a`I=SN= áåíÉåëáîÉ=Å~êÉ=ìåáí=EfqrFI=NOI=ONI=OQI=SP= = áëçéêÉå~äáåÉI=NMI=NNI=NP= ÖÉåÉ=íÜÉê~éóI=QU= fqrI=ëÉÉ=áåíÉåëáîÉ=Å~êÉ=ìåáí== ÖÉåÉíáÅ=ÉåÖáåÉÉêáåÖI=QU= = Öê~åíëI=êÉëÉ~êÅÜI=RÓSI=QO= g~é~åI=PQ= dêççíÉ=pÅÜììê=eçëéáí~äI=`~éÉ=qçïåI=R= g~êîáâJT=~êíáÑáÅá~ä=ÜÉ~êíI=QT=

68 Index : Subject gçÜå=o~ÇÅäáÑÑÉ=eçëéáí~äI=lñÑçêÇI=QT= çêÖ~å=íê~åëéä~åí~íáçå=EÅçåíÛÇKF= gçÜåë=eçéâáåë=råáîÉêëáíóI=rp=OR= ëÉÉ=~äëç=âáÇåÉó=íê~åëéä~åí~íáçåI= àçìêå~äáëíëI=ëÉÉ=éêÉëë= ===äáîÉê=íê~åëéä~åí~íáçå= = ãçê~íçêá~I=QSÓQT= = = ãìäíáéäÉ=~ÄÇçãáå~äI=QT= hÉååÉÇó=oÉéçêíI=QU= âáÇåÉó=íê~åëéä~åí~íáçåI=PTI=PUI=RMI=SM= = é~ÅÉã~âÉêëI=TI=PQ= = m~äç=^äíçI=`~äáÑçêåá~I=ëÉÉ=pí~åÑçêÇ= äáîÉê=íê~åëéä~åí~íáçåI=PTI=PUI=QRI=QT= råáîÉêëáíó= içã~=iáåÇ~=råáîÉêëáíóI=içã~=iáåÇ~I= m~éïçêíÜ=eçëéáí~äI=`~ãÄêáÇÖÉI=PSI=PTI== `~äáÑçêåá~I=QT= PUÓQOI=QTI=RRÓRSI=SPÓSQ= äìåÖ=íê~åëéä~åíI=ëáåÖäÉI=NUÓNV= mÉíÉê=_Éåí=_êáÖÜ~ã=eçëéáí~äI=_çëíçåI=RU= = éÜóëáÅá~åëI=ëÉÉ=~äëç=Å~êÇáçäçÖáëíë= Új~ÖÇáÛë=ãáÇåáÖÜí=pí~êêëÛI=OU= = ~ííáíìÇÉë=íç=Å~êÇá~Å=ëìêÖÉêóI=OVI=PNI=PO= j~óç=`äáåáÅI=RS= = éçëíJçéÉê~íáîÉ=Å~êÉI=NSÓNTI=OMÓON= ãÉÇá~I=ëÉÉ=éêÉëëI=__`=íÉäÉîáëáçå= éáÖë= jÉÇáÅ~ä=^Çîáëçêó=`çããáííÉÉI=PT= = ÉëÅ~éÉÇI=NNI=OVÓPM= ãÉÇáÅçJäÉÖ~ä=áëëìÉëI=OOÓOPI=PPÓPQ= = ~ë=çêÖ~å=ÇçåçêëI=RVI=SN= SJãÉêÅ~éíçéìêáåÉI=S= = íê~åëéä~åí=ëíìÇáÉëI=SI=NNI=PUÓPV= jáÇÇäÉëÉñ=eçëéáí~äI=içåÇçåI=PMI=PO= éä~ëíáÅ=çéÉê~íáåÖ=íÉåíI=ON= ãáíê~ä=î~äîÉ=ëìêÖÉêóI=PMI=QSI=QVI=RSÓRTI=SM= éçëí=ãçêíÉã=E~ìíçéëóF= ãçäÉÅìä~ê=ÄáçäçÖóI=RN= = ÜÉ~êí=ÇçåçêëI=ONI=OOÓOP= ãçê~íçêáìãI=OTI=PQÓPTI=PVI=QOÓRV= = ÜÉ~êí=íê~åëéä~åí=êÉÅáéáÉåíëI=NVI=OV= = Å~êÇá~Å=ëìêÖÉêóI=QRÓQSI=QVI=RSÓRTI=SM= éçëíJçéÉê~íáîÉ=ã~å~ÖÉãÉåíI=NOÓNUI=NVÓONI= = Å~ìëÉëI=QQÓQSI=RSÓRT= ==OPI=PO= = ÇÉÑáåáíáçåI=QQ= = Ñáêëí=ÜÉ~êí=íê~åëéä~åí=é~íáÉåíÛë=ÅÜ~êíI=NOI= = áå=çêÖ~å=íê~åëéä~åí~íáçåI=QSÓQT= ==NPÓNS= ãçêí~äáíó=ê~íÉëI=OPI=QP= = Äó=ÅçããáííÉÉI=NTI=NVÓOMI=POI=RS= = éêÉÅáéáí~íáåÖ=ãçê~íçêá~I=QQI=QRI=QSI== mçëíÖê~Çì~íÉ=jÉÇáÅ~ä=pÅÜççäI= ===RSÓRT= e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=SÓTI= ãìêÇÉêI=áåÇáÅíãÉåí=ÑçêI=OOÓOPI=PPI=PQ= ORI=PM= jìëäáã=ÅçìåíêáÉëI=PQ= éêÉÇåáëçåÉI=NP= éêÉëëI=TI=SP= = = ~åÇ=Ñáêëí=_êáíáëÜ=ÜÉ~êí=íê~åëéä~åíI=UÓVI= k~íáçå~ä=eÉ~äíÜ=pÉêîáÅÉ=EkepFI=RQI=SQI== NTI= ëÉÉ=~äëç=aÉé~êíãÉåí=çÑ=eÉ~äíÜ=~åÇ== ==OQÓORI=PP= pçÅá~ä=pÉÅìêáíó= = ÅçåÑÉêÉåÅÉI=OQI=ORI=RM= k~íáçå~ä=eÉ~êí=eçëéáí~ä=Eä~íÉê=oçó~ä= = áåíêìëáçåëI=UÓVI=RN= ==_êçãéíçå=k~íáçå~ä=eÉ~êí=~åÇ=iìåÖ= = ã~å~ÖÉãÉåíI=OMI=OQÓOT= ==eçëéáí~äFI=içåÇçåI=NVI=PNI=RP= = êÉëéçåëÉëI=OTI=RO= = Ñáêëí=ÜÉ~êí=íê~åëéä~åíI=PÓNUI=OMÓONI== mêáî~íÉ=bóÉI=ORI=OS= ====OTÓOUI=POÓPP= mêçÖê~Ñ=I=ëÉÉ=í~Åêçäáãìë= = ëÉÅçåÇ=ÜÉ~êí=íê~åëéä~åíI=NU= éìÄäáÅ=êÉä~íáçåë=EmoFI=OMI=OQÓOT= = çéÉê~íáåÖ=íÜÉ~íêÉ=ÅäçëìêÉI=ON= éìäãçå~êó=ÉãÄçäáI=NSI=NT= k~íáçå~ä=fåëíáíìíÉë=çÑ=eÉ~äíÜI=QO= éìäãçå~êó=áåÑ~êÅíáçåI=NPÓNS= kepI=ëÉÉ=k~íáçå~ä=eÉ~äíÜ=pÉêîáÅÉ== éìäãçå~êó=äÉëáçåëI=NS= kìÑÑáÉäÇ=`çìåÅáä=çå=_áçÉíÜáÅëI=QQI=RN= éìãé=çñóÖÉå~íçêI=V= kìÑÑáÉäÇ=cçìåÇ~íáçåI=QQI=RN= éìêÅÜ~ëÉêJéêçîáÇÉê=Åçåíê~ÅíëI=SQ= = = çéÉå=ÜÉ~êí=ëìêÖÉêóI=ëÉÉ=Å~êÇá~Å=ëìêÖÉêó= ê~ÄÄáíI=SM= çéÉê~íáåÖ=íÜÉ~íêÉI=ON= êÉÅáéáÉåíI=éçëíJçéÉê~íáîÉ=ÅÜ~êíI=ëÉÉ=ÅÜ~êíI= çêÖ~å=íê~åëéä~åí~íáçåI=ëÉÉ=~äëç=ÇçåçêëI=ÜÉ~êí= éçëíJçéÉê~íáîÉ= ===íê~åëéä~åí~íáçåI== êÉàÉÅíáçåI=QQÓQRI=RM= = íÉëíëI=NPI=OVI=PT=

69 Index: Subject

êÉäáÖáçìë=çêÖ~åáò~íáçåëI=U= íê~åëéä~åí=ëíìÇáÉëI=~åáã~äI=RÓTI=VI=NMI=POI= ok^=ëóåíÜÉëáëI=~ë=~=íÉëí=Ñçê=êÉàÉÅíáçåI=NP= PUÓPV= oçó~ä=_êçãéíçå=k~íáçå~ä=eÉ~êí=~åÇ=iìåÖ= qê~åëéä~åí=^Çîáëçêó=m~åÉä=Eq^mFI=PSI== eçëéáí~äI=ëÉÉ=k~íáçå~ä=eÉ~êí=eçëéáí~ä= PVÓQMI=QNI=RP= oçó~ä=mçëíÖê~Çì~íÉ=jÉÇáÅ~ä=pÅÜççäI= e~ããÉêëãáíÜ=eçëéáí~äI=içåÇçåI=SÓTI= = ORI=PM= rhufo^I=ëÉÉ=rh=uÉåçíê~åëéä~åí~íáçå= oçó~ä=sÉíÉêáå~êó=`çääÉÖÉI=içåÇçåI=SI=NM= fåíÉêáã=oÉÖìä~íçêó=^ìíÜçêáíó== rh=uÉåçíê~åëéä~åí~íáçå=fåíÉêáã= = oÉÖìä~íçêó=^ìíÜçêáíó=Erhufo^FI=QU= ëÜÉÉéI=íê~åëéä~åí=ëíìÇáÉëI=S= råáíÉÇ=háåÖÇçã=ErhFI=ëÉÉ=~äëç=aÉé~êíãÉåí= pá~ãÉëÉ=íïáåëI=T= ==çÑ=eÉ~äíÜ=~åÇ=pçÅá~ä=pÉÅìêáíó= pçÅáÉíó=Ñçê=`~êÇáçíÜçê~ÅáÅ=pìêÖÉêóI=QM= = Ñáêëí=ÜÉ~êí=íê~åëéä~åíI=PÓNUI=OMÓONI== pí~åÑçêÇ=råáîÉêëáíóI=pÅÜççä=çÑ=jÉÇáÅáåÉI= ==OTÓOUI=POÓPP= m~äç=^äíçI=`~äáÑçêåá~I=RI=OOÓOPI=OUI== = ëÉÅçåÇ=ÜÉ~êí=íê~åëéä~åíI=NU= PPÓPQI=PTI=RMI=RS= = íÜáêÇ=ÜÉ~êí=íê~åëéä~åíI=NUÓOMI=OPÓOQI=OV= éêçíçÅçäI=OMI=QMI=RV= = `~ãÄêáÇÖÉ=ÜÉ~êí=íê~åëéä~åí=éêçÖê~ããÉI= pí~êê=î~äîÉëI=OU= ==PTÓQOI=RRÓRS= ëíÉêçáÇëI=NPI=NVI=RMI=RU= = ãçê~íçêáìã=çå=ÜÉ~êí=íê~åëéä~åíëI== ëìéê~JêÉÖáçå~ä=ÑìåÇáåÖI=QOI=SQI=ëÉÉ=~äëç= ==ëÉÉ=ãçê~íçêáìã= aÉé~êíãÉåí=çÑ=eÉ~äíÜ=~åÇ=pçÅá~ä= = å~íáçå~ä=ÜÉ~êí=íê~åëéä~åí=ÅÉåíêÉëI== pÉÅìêáíó= ==QNÓQOI=SQ= ëìíìêÉ=äáåÉëI=NMI=NV= råáíÉÇ=pí~íÉëI=OOÓOPI=OUI=PPÓPQI== pïáíòÉêä~åÇI=PQ= QOÓQPI=SQ= = = í~ÅêçäáãìëI=RU= î~äîÉë= q^mI=ëÉÉ=qê~åëéä~åí=^Çîáëçêó=m~åÉä= = ëìêÖÉêóI=NSI=OUI=PMÓPN= íÉäÉÖê~ãëI=OQI=OT= = íê~åëéä~åí=ëíìÇáÉëI=VI=OM= íÉäÉîáëáçåI=TÓUI=QTI=SP= îÉåíáä~íáçåI=ãÉÅÜ~åáÅ~äI=NMI=NNÓNOI=NVI= íÜÉê~éÉìíáÅ=áååçî~íáçåI=QPÓQQI=RNI=ROI== OPI=QN= RTÓRUI=SNÓSO= = íÜçê~ÅáÅ=ëìêÖÉêóI=SM= tÉääÅçãÉ=qêìëíI=PI=S= íáëëìÉ=íóéáåÖI=QVÓRM= = íê~åëÖÉåáÅ=éáÖëI=SN= ñÉåçíê~åëéä~åí~íáçåI=QSI=QUI=RVI=SNÓSO

70 Index : Name

Index: Name

^ÅÜÉëçåI=oçóI=QO= bã~åìÉäI=oáÅÜ~êÇI=OUI=PN= ^áêÇI=f~åI=T= båÖäáëÜI=páê=qÉêÉåÅÉI=OMI=PSÓQOI=RMI=RPI= ^ääáëçåI=qçåóI=SM= RRÓRSI=RVI=SMI=SNI=SOI=SPÓSQI=SR= ^íâáåëI=eÉÇäÉóI=OQ= bî~åëI=a~îáÇI=PTI=RR= = = _~áäÉóI=`Ü~êäÉëI=QSI=RSI=RT= cäÉãáåÖI=eìÖÜI=PTI=PU= _~áäÉóI=iÉçå~êÇI=QSI=QT= cäÉãáåÖI=mÉíÉêI=PQ= _~êå~êÇI=`Üêáëíá~~åI=RI=SI=NTI=ONI=OOI=QQ= cçêÇÉI=dçêÇçåI=NU= _~íÅÜÉäçêI=g=o=EaáÅâFI=NVI=OV= cçñI=oÉå¨ÉI=PSI=QOÓQTI=QVI=RMI=ROI=RSI=RTÓ _ÉÅâI=`ä~ìÇÉI=QS= RVI=SNÓSO= _ÉÇÑçêÇI=bî~åI=PM= _ÉíÜìåÉI=açåI=PUI=QM= = _áääáåÖÜ~ãI=j~êÖ~êÉíI=PT= dÉêÄçÇÉI=cê~åâI=V= _áêâÄÉÅâI=aÉêÉâI=NU= dáäëíçåI=^ä~åI=NNÓNOI=NUI=ORI=OVI=PMI=PPI= _ä~áÄÉêÖI=mÜáäáéI=QQ= SPI=SR= _ççíÜI=páê=`ÜêáëíçéÜÉêI=NSI=ORI=OTI=SM= dçÇÄÉêI=páê=dÉçêÖÉI=PRÓPSI=PVI=RQ= _ê~ÇäÉóI=_áääI=TÓU= dççÇïáåI=gçÜåI=PVÓQMI=RRI=SO= _êçÅâI=oìëëÉää=Eä~íÉê=içêÇFI=TI=PM= dçêëíI=gçÜå=Eä~íÉê=páêFI=OMI=OQ= _ìåâÉêI=gçÜåI=OOÓOPI=OUI=PPÓPQ= dçìäÇI=açå~äÇI=TÓU= _ìêåÉíI=m~ìäáåÉI=QM= dêÉÉåI=`çäáåI=SM= _ìííÉêÑáÉäÇI=páê=gçÜå=Eä~íÉê=içêÇFI=QN= dêçåÇáåI=máÉêêÉI=QR= _ìñíçåI=j~êíáåI=QO= = = e~ÄÖççÇ=çÑ=`~äîÉêíçåI== `~ÄêçäI=`Üêáëíá~åI=PQ= içêÇ=EgçÜå=pí~éóäíçåFI=QU= `~äã~åI=páê=hÉååÉíÜI=SQ= e~êÇóI=g=aI=QS= `~äåÉI=páê=oçóI=PTI=PUI=PVI=QMI=QNI=QRI=RMI= e~êâÉåI=aïáÖÜíI=RSI=RT= RUI=RVI=SN= e~êêáëçåI=açåI=OP= `~êåÉÖáÉI=a~îáÇI=NVI=OPÓOQ= e~óï~êÇI=dê~Ü~ãI=U= `~êêÉäI=^äÉñáëI=RÓS= eÉåÇêáÅâI=`Ü~êäÉëI=NVÓOM= `~ëíäÉI=hÉáíÜI=QN= eáíÅÜáåÖëI=dÉçêÖÉI=S= `~îÉëI=mÜáäáéI=PT= eçääã~åI=^êíÜìêI=PMÓPN= `ÜêáëíáÉI=a~éÜåÉI=NOI=RN= eìÇëçåI=oÉÖáå~äÇI=ON= `ä~êâÉI=hÉååÉíÜI=RP= = `äÉä~åÇI=táääá~ãI=PMI=PVÓQMI=SM= g~êîáâI=oçÄÉêíI=QT= `ççäÉóI=aÉåíçåI=QPI=QRI=RN= gçëÉéÜI=páãçåI=NOI=NPÓNSI=NTI=NUI=ORI=OUI= `ìíäÉêI=bääáçíI=QSI=QVI=RS= OVI=PNI=SOI=SR= = = aÉ_çåçI=^åíÜçåóI=S= h~åíêçïáíòI=^Çêá~åI=TI=QT= aÉ_çåçI=bÇï~êÇI=S= h~ëéÉê~âI=jáâÉI=OO= aÉ_çåçI=sáÅíçêI=S= hÉååÉÇóI=f~å=I=QUI=RV= aÉãáâÜçîI=sä~ÇáãáêI=RI=S= háåãçìíÜI=gçÜåI=T= aÉååÉóI=o=gI=NT= iÉëëçÑI=j~ìêáÅÉI=NVI=OMÓONI=OV= aÉìÅÜ~êI=aÉååáëI=NV= iÉïáëI=páê=qÜçã~ëI=SM= aÉsêáÉëI=táääá~ãI=QU= içÅâÉóI=bìåáÅÉI=TI=OMI=ONI=ORI=PMI=PP= aóÇÉ=g=^=EqçåóFI=NUI=NV= içåÖI=a~îáÇI=S= = içåÖãçêÉI=açå~äÇI=PÓQI=RÓVI=NMI=NNI=NTI= bäáçåI=dÉêíêìÇÉI=S= ONIOSI=OTI=OVÓPMI=POÓPPI=ROÓRPI=RQI=SQ=

71 Index : Name içïÉêI=oáÅÜ~êÇI=RI=V= pÉååáåÖI=üâÉI=PQ= j~ÅâÉåòáÉI=páê=g~ãÉëI=SM= pÜìãï~óI=kçêã~åI=RI=VI=OOÓOPI=OUI=QMI= jÅdÉííêáÅâI=c~íÜÉê=g~ãÉëI=U= QPI=RS= jÅeìÖÜI=`Ü~êäÉëI=QMÓQN= pãáíÜóI=eçê~ÅÉI=RSÓRT= jÅj~ëíÉêI=m~ìäI=QM= pçãÉêîáääÉI=g~åÉI=NSÓNUI=NVI=OQI=ORI== jÉÇ~ï~êI=páê=mÉíÉêI=Q= OTÓOUI=OVI=PNI=POI=RN= jÉäêçëÉI=aÉåáëI=ORI=OTI=PM= pçãÉêîáääÉI=t~äíÉêI=PMI=POI=RQÓRR= jáääëI=fîçêI=PU= pçìíí~êI=eÉåêóI=RS= jáäëíÉáåI=_áääI=PT= pí~êòäI=qÜçã~ëI=QRI=QSI=QT= jçïÄê~óI=g~ãÉëI=TI=NPI=NTI=NVI=PO= píáäÉëI=mÉíÉêI=T= jìÖÖÉêáÇÖÉI=j~äÅçäãI=T= píçÑÉêI=o~óI=RI=V= = = k~óäçêI=^ååI=NO= q~åëÉóI=b=j=EqáääáFI=RQ= kÉïã~åI=o~ÄÄáI=U= qÉ~êÉI=o=aI=PO= qÉÄÄáíI=kçêã~å=Eä~íÉê=içêÇFI=OM= = qÜìêëíçåI=d~îáåI=POI=PP= m~êâÉêI=gç~åI=NP= qçîÉóI=dÉçÑÑêÉóI=T= m~ííÉåI=gçÜåI=RP= qêÉ~ëìêÉI=qçãI=PÓQI=RI=VI=NNI=NOI=NTI=NUI= mÉíÅÜI=jáÅÜ~ÉäI=PUI=RR= OMI=ONÓOOI=OPI=OQÓORI=OUI=PNI=POÓPPI= mçïÉääI=båçÅÜI=PS= PQÓPRI=PSI=QOI=QUI=QVI=RMI=ROI=RPI=RQI= = RSÓRTI=RVI=SMI=SOI=SPI=SQÓSR= o~ÑíÉêóI=bÇï~êÇI=UI=PO= qóêêÉääI=a~îáÇI=RNÓROI=RVÓSM= oÉÉãíëã~I=hÉáíÜI=QS= = oÉóåçäÇëI=içáë=NPI=OUI=PMI=QTI=RN= s~äÉI=o~óãçåÇI=OP= oáîÉííI=dÉçÑÑêÉóI=PRÓPSI=ROI=RQI=SQ= oçÄáåëçåI=a~îáÇI=QO= = oçëÉI=páê=^äÉÅI=OT= t~Ç~I=gìê∑I=PQ= oçëëI=_~êêóI=NUÓOMI=OQI=RQ= t~ääïçêâI=gçÜåI=QUI=RSI=SMÓSN= oçëëI=açå~äÇI=PI=QÓRI=UI=VI=NMI=NNI=NOI=NPI= t~ëÜâ~åëâóI=içìáëI=RI=T= NSI=NUI=NVI=OMÓONI=OOI=OPI=OQÓORI=OSI= tÉëíI=cêÉÇÉêáÅâI=UI=NPÓNSI=NUI=ONI=OT= OTI=OUI=PPI=PQI=PRI=QOI=QVI=RNI=RQI=SMI= tÜáíÅÜÉêI=`Ü~êäÉëI=OO= SOÓSPI=SQI=SR= tÜáíÉI=sáêÖáåá~I=OO= oçëëI=páê=hÉáíÜI=PÓQI=VÓNMI=NNI=NOI=OSI=OTI= tççäÉêI=dÉçÑÑêÉóI=PN= PMI=POI=RMI=RQI=SQ= oó~åI=m~íêáÅâI=UÓVI=POÓPP= = v~ÅçìÄI=páê=j~ÖÇáI=OUI=QNI=RPI=SMI=SR= = v~íÉëI=^ä~å= pÅÜêçÉÇÉêI=gçÜåI=OP= pÉääçêëI=páê=qÜçã~ë=eçäãÉë=EråÅäÉ=qçãFI= SI=NOÓNPI=PMI=PNI=PO=

72