| Serial echocardiography in transplanted heart: an initial report of five cases. | |
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MedLine Citation:
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PMID: 9291650 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Role of echocardiography including Doppler is established in selection of donor and in the care of patients after cardiac transplantation. Its value for recognition of transplant rejection is however still evolving. We present here, serial echocardiographic findings in five male patients, aged 22 to 46 years who underwent cardiac transplantation at our institution. There was no appreciable change on follow-up in the left ventricular dimensions, thickness of left ventricular posterior wall and interventricular septum and left ventricular systolic function. Transient pericardial effusion was noted in two patients. Trivial to mild mitral and tricuspid regurgitation was observed. The diastolic function of the left ventricle, as assessed by mitral valve inflow wave pattern, was normal in four patients. However in the fifth patient, there was evidence of diastolic dysfunction of the left ventricle and this change was accompanied by rejection episode (IIIB changes) in the endomyocardial biopsy. With resolution of rejection in biopsy, the diastolic function by Doppler also returned to normal. We conclude that echocardiography has a definite role in the general care of patients after cardiac transplantation. Transient small pericardial effusion and mild atrioventricular valve regurgitation are common after the operation. Echocardiography may also be of use in recognition of rejection episode by demonstrating evidence of diastolic dysfunction of the left ventricle. Currently, endomyocardial biopsy remains the gold standard for diagnosis of rejection. |
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Authors:
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A Saxena; K K Talwar; S Srivastav; B Airan; D Thatai; P Chopra; P Venugopal |
Publication Detail:
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Type: Journal Article |
Journal Detail:
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Title: Indian heart journal Volume: 49 ISSN: 0019-4832 ISO Abbreviation: Indian Heart J Publication Date: 1997 May-Jun |
Date Detail:
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Created Date: 1997-09-26 Completed Date: 1997-09-26 Revised Date: 2004-11-17 |
Medline Journal Info:
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Nlm Unique ID: 0374675 Medline TA: Indian Heart J Country: INDIA |
Other Details:
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Languages: eng Pagination: 279-82 Citation Subset: IM |
Affiliation:
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Cardiothoracic Centre, All India Institute of Medical Sciences, New Delhi. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Echocardiography* / methods Follow-Up Studies Graft Rejection / ultrasonography* Heart Transplantation / ultrasonography* Humans Male Middle Aged Pericardial Effusion / ultrasonography Postoperative Complications / ultrasonography* Time Factors Ventricular Dysfunction, Left / ultrasonography |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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