The authors of this international consensus paper note in Table 1 the results of an online survey on the prevention of primary graft dysfunction after cardiac transplantation. “Precautions against PGD: (descending order of importance)

1.  Cooling of the heart during implantation (by using devices such as cooling jackets, ice, cooling via vent into left atrium/ventricle) 
2. Controlled reperfusion
3. Special cardioplegic solution protocol during surgery
4. Temperature control during transport

Jon Kobashigawa, MD, Andreas Zuckermann, MD, Peter Macdonald, MD, PhD, Pascal Leprince, MD, PhD, Fardad Esmailian, MD, Minh Luu, MBBS, Donna Mancini, MD, Jignesh Patel, MD, PhD, Rabia Razi, MD, MPH, Hermann Reichenspurner, MD, PhD, Stuart Russell, MD, Javier Segovia, MD, PhD, Nicolas Smedira, MD, Josef Stehlik, MD, MPH, Florian Wagner, MD, PhD 
www.ncbi.nlm.nih.gov