This image provides a rare look into a pediatric heart transplant procedure. The recipient in this case was a 13 month-old patient with congenital heart disease (CHD). Most programs now report that more than 70% of pediatric heart transplant recipients survive at least 5 years. However, some patients have survived beyond 20 years. Last year, 115 heart transplants were reported internationally for patients between 1 and 5 years old.