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so uh just kick start the discussion iamp;#39;d like to uh ask one question to dr alejos regarding your criteria for uh donor and recipient size in this match because thatamp;#39;s often an issue in our pediatric population if youamp;#39;re trying to get as many hearts as possible itamp;#39;s just not possible to match them for size uh children waiting on their transplant list grow and so what is your cut off for size mismatch between donor and recipient i mean i think you really have to take that kind of on a case-by-case basis i think we work with uh i mean our surgical colleagues i mean thereamp;#39;s a thereamp;#39;s a question of of fit i mean a lot of the children who have dilated cardiomyopathy obviously their hearts have their own hearts have swollen and grown leaving a lot more room for a bigger heart to be implanted but we have to take into consideration things such as their hemodynamics the kind of workload the new heart is going to have to do so i mean
