Abstract
A revised transplant law, which has been valid since July 17, 2010, has provided the same circumstances of organ donation in the United States, that is, organ donation from donors of any age has been valid with the opt-in system. Adult heart transplantation has been performed at the rate of three cases a month since then; however, only one pediatric heart transplant was done from a brain-dead donor less than 15 years old. In order to do more pediatric heart transplants in Japan, pediatric intensive care units in each hospital in Japan should communicate with the three pediatric heart transplant centers in Japan. It is also important that a pediatric ventricular assist devices, such as the ExCor · Pediatric, be approved as soon as possible. For making well-established pediatric heart transplantation in the future, post-transplant care for pediatric heart transplantation must be prepared.
