Heart, Lever, Heart Transplantation

Patients undergoing congenital, complex congenital heart surgery now living into their adulteers. They end up with a congestive hepotopathy picture that oftentimes is undiagnosed until they are at the stage of serosis. So you really are looking at a combined heart liver transplant as simultaneous transplant. But when how is the elocation process likehi? Does that change the amount of time af the patients stay on the list or at waiting for a second ortan will make them more at risk of dying?