Document Detail

Heart transplantation: echocardiographic assessment of morphology and function after more than 10 years of follow-up.
MedLine Citation:
PMID:  12400748     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Over recent years, heart transplantation (HTX) developed into a successful option for long-term treatment of end-stage heart failure. Ten-year survival ranges between 40% and 50%. Little is known, however, about function and morphology of transplanted hearts during follow-up of more than 10 years. METHODS: In a consecutive cohort of 65 patients (55 male, 54.6 +/- 12.1 years at the time of transplantation), graft function was assessed by color Doppler echocardiography 12.5 +/- 1.4 years after heart transplantation (10 to 15 years). RESULTS: Left atrial and ventricular dimensions were found in a normal range (LA 37.7 +/- 8.9 mm, LV enddiastolic 45.6 +/- 6.4 mm, 30 to 71 mm). Ejection fraction (EF) of 71 +/- 11.7% and a fractional shortening of 35.3 +/- 10.3% presented with normal values. Left ventricular mass (male 263.8 +/- 111.4 g, female 373.0 +/- 181.1 g) was slightly increased resulting in mild hypertrophy in women. Focused on right ventricular morphology, enlargement of both the right atrium and the right ventricle (RA 40.7 +/- 11.8 mm, RV 37.4 +/- 8.3 mm) was observed in the majority of the patients. Tricuspid valve insufficiency (> grade II) was present in 46 of 65 patients; 5 patients had previously undergone tricuspid valve replacement. Atrial filling waves were detectable in only 47 of 65 patients, thus, 28% of patients showed signs of LA-dysfunction. CONCLUSIONS: More than 10 years post-HTX, cardiac grafts were characterized by normal left ventricular dimensions and ejection fraction. LA-dysfunction and RV-enlargement associated with tricuspid insufficiency were frequent findings, however, not associated with clinical signs of congestive heart failure in the majority of patients.
Michaela Wilhelmi; Klaus Pethig; Mathias Wilhelmi; Hien Nguyen; Martin Strüber; Axel Haverich
Related Documents :
7553698 - Diagnosis of persistent left superior vena cava by multiplane transesophageal echocardi...
7833338 - Facial left-right dominance in cleft lip and palate: three-dimension evaluation.
1091128 - Ultrasound in the diagnosis of congenital heart disease.
7087528 - Successful repair of coexisting double-outlet right ventricle and two-chambered right v...
7999528 - Should magnesium therapy be considered for the treatment of coronary heart disease? i. ...
1968518 - The relative risk of incident coronary heart disease associated with recently stopping ...
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  74     ISSN:  0003-4975     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2002 Oct 
Date Detail:
Created Date:  2002-10-28     Completed Date:  2002-11-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1075-9; discussion 1079     Citation Subset:  AIM; IM    
Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Germany.
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Echocardiography, Doppler, Color*
Follow-Up Studies
Heart / anatomy & histology,  physiology
Heart Transplantation*
Middle Aged
Postoperative Complications
Stroke Volume
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

Previous Document:  Perigraft to right atrial shunt by using autologous pericardium for control of bleeding in acute typ...
Next Document:  End-organ function during chronic nonpulsatile circulation.