**2. Donor considerations**

Upon receiving information regarding a possible donor for a heart transplant, the recipient team considered several essential factors (**Figure 2**) [17], and donor quality assessment is determined first. Once information regarding the donor has been received, donor quality assessment is determined first.

Organic valve disease is considered a contraindication when using a donor organ for heart transplants. It has been reported that certain donor criteria have been expanded safely, but only sporadic cases have been reported in the literature regarding bench repair or replacement of valves before heart transplantation. Of the reports in the last 25 years [6–16], Risher et al. [14] in 1994 were the first to report on mitral commissurotomy of the donor heart before transplantation. However, heart valve disease remains a contraindication for heart donation in most heart transplant centers.
