Journal of Clinical Medicine Research

This report aims to determine the cause of death from a forensic pathological perspective in a case of early death after heart transplantation. Using methods such as external examination, autopsy, and histopathological examination, we analyze the multiple factors leading to death in this case, particularly focusing on the heart donor aspects. Heart donors must meet strict criteria regarding structural abnormalities, age, low body weight, cold ischemia time, donor infection, and poisoning, and heart function. However, this case suggests the need for further refinement of these standards. Preoperative pathological diagnosis of the donor heart is necessary to determine any primary diseases, establish pathological diagnostic standards, evaluate heart survival indices, and ensure the quality of life for recipients, thereby avoiding deaths caused by primary diseases of the donor heart.