Abstract
We report the first US pediatric heart transplant utilizing the XVIVO Heart Assist Transport (XHAT) system for donor heart preservation. An 11-year-old recipient successfully received a heart from a 27-year-old donor using hypothermic ex vivo perfusion. The transplant was uncomplicated, with excellent 6-month outcomes. This case highlights the potential of XHAT to expand donor access and improve preservation in pediatric heart transplantation.