Conclusions
Our data suggests that shortage of donors is not the main limiting factor of heart transplantation in Mid-West of Brazil. A more organized organ procurement system and better donor intensive care protocols would enhance donor utilization rate. That would certainly reduce waiting list mortality. Most of the donors were classified as high-risk which indicates that an expanded donor pool is a routine practice in our region, and donor scoring does not seem to influence to proceed with the transplant. European donor scoring system in our population did not correlated with post-transplant primary graft dysfunction and long-term mortality, reflecting the need to develop a local scoring system.