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A bridge to transplant situation. mr puzzler was in a transplant list already before and the high urchin stages but due to further decline we had implanted assistive eyes and now as you said just buying time to transplant him hopefully very soon so are you just waiting for help right now and if you re looking at a donor heart and other some special requirements you have to watch out for an individual patient it s very important that medicine science and implant type but if you look at the heart in general or the things we said before it it s important that there is no coronary artery disease no birth disease and no myocarditis of the donor heart as well thirteenth to be a healthy organ of course and one of the main risk is that the body rejects the donor hard so as a whole can you cope with that risk is a very important aspect and for this we have luckily immunosuppression since the early night in the eighty s we have immunosuppression of cyprus boren and other ....