Since the heart transplantation (HTx) program was restarted in 1999, a total of 288 HTx procedures have been performed in Japan. The 10-year survival rate is 91.6, which is excellent and better than International Society for Heart Lung Transplantation (ISHLT) registry data (53). This article reviewed Japanese registry data and ISHLT data to clarify the reason for excellent long-term outcomes in Japan and to discuss the future perspective of HTx in Japan.
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