ilIntroduction* Theldeal therapy for the management of heartfailure refractory to usual mediçal care continues tö.be cardiac transplantatlon* Shorlage of organs?* Eligibility for a heart transplant? (concomitantmultisystem disease, uncontrolled diabetes,continued tobacco use, or psychosocial İlmitations)* Thealternative therapy for end stage heart failureshould be inteğrated with HTx programma