%0 Journal Article %T Is There a Crisis in Heart Transplantation? Reflection over 10 Years %A Karin Purshouse %A Stephen Large %A Henry Dargie %A John Dunning %A James Neuberger %J Open Journal of Organ Transplant Surgery %P 1-4 %@ 2163-9493 %D 2012 %I Scientific Research Publishing %R 10.4236/ojots.2012.21001 %X Heart transplantation is without doubt a very effective treatment for patientsĄŻ whose lives and well-being are threatened by their failing heart. We previously categorized our concerns into four areas or Ds: Donor availability, Disorganization, Disillusionment (of clinicians) and Disaffection (of tomorrowĄŻs clinicians). After a decade, this is a timely reflection on this crisis of cardiac transplantation. It is also appropriate to set this in the context of a fifth D, the Demand for heart transplantation. In this reflective analysis, we use the 5 Ds to explore the current climate in heart transplantation, with particular reference to the situation in the UK. %K Heart Transplantation %K Heart Failure %U http://www.scirp.org/journal/PaperInformation.aspx?PaperID=17718