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Impaired bone mineral density (BMD) and osteoporosis are commonly found in patients who have undergone heart transplantation (HT), which increases the risk for bone fractures which is associated with increased morbidity and mortality in adults. However, the long-term evolution of BMD after HT in pediatric patients has not been thoroughly investigated. Bone mineral density up to 10years after HT was investigated in 30 patients who underwent HT at an age 20years at Skåne University Hospital in Lund 1988-2016. The total observed time w