What aspect is NOT considered an exclusion criterion for heart transplantation?

In the context of heart transplantation, complex coronary artery disease is not typically considered an exclusion criterion. While the presence of coronary artery disease can impact the eligibility for transplant, it does not automatically disqualify a patient from being considered for transplantation. Many candidates with coronary artery disease may still be eligible if the disease is manageable, especially if they demonstrate adequate heart function and are otherwise stable.

In contrast, advanced pulmonary disease, age above 70 years, and obesity defined by specific BMI measures are often considered exclusion criteria due to the potential complications they can present. Advanced pulmonary disease can significantly increase the risk of post-operative complications and affect overall prognosis. Age can be a factor as older patients may have an increased risk of mortality during and after the transplant process. Likewise, severe obesity can lead to surgical complications, decreased graft success, and poorer overall outcomes, which is why it is a concern in assessing eligibility for transplantation.