Optical coherence tomography for the evaluation of asymmetric cardiac allograft vasculopathy in a child

被引:5
作者
Greenway, Steven C. [1 ,2 ]
Hosking, Martin [3 ]
Harris, Kevin C. [3 ]
机构
[1] Alberta Childrens Prov Gen Hosp, Cardiol Sect, Calgary, AB, Canada
[2] Alberta Childrens Prov Gen Hosp, Dept Pediat, Calgary, AB, Canada
[3] British Columbia Childrens Hosp, Childrens Heart Ctr, Vancouver, BC V6H 3V4, Canada
关键词
pediatric; heart transplant; vasculopathy; optical coherence tomography; TRANSPLANTATION;
D O I
10.1111/petr.12303
中图分类号
R72 [儿科学];
学科分类号
100202 ;
摘要
We present an unusual case of CAV in a child with isolated disease in the LAD coronary artery. Initial progression of the disease appeared to have been halted by the use of sirolimus, but the assessment of disease in other vessels (particularly the RCA) was of particular importance in deciding whether or not to relist this patient for transplantation. Due to the known limitations of coronary angiography, we used OCT to assess for angiographically silent CAV. The normal intravascular appearance of the RCA by OCT was reassuring, and the child was not relisted for transplantation. OCT offers multiple advantages for the assessment of CAV in children.
引用
收藏
页码:E190 / E192
页数:3
相关论文
共 6 条
[1]   Optical Coherence Tomography and Highly Sensitivity Troponin T for Evaluating Cardiac Allograft Vasculopathy [J].
Garrido, Iris P. ;
Garcia-Lara, Juan ;
Pinar, Eduardo ;
Pastor-Perez, Francisco ;
Sanchez-Mas, Jesus ;
Valdes-Chavarri, Mariano ;
Pascual-Figal, Domingo A. .
AMERICAN JOURNAL OF CARDIOLOGY, 2012, 110 (05) :655-661
[2]  
HARRIS KC, 2014, CIRC CARDIOVASC IMAG
[3]   The Presentation and Diagnosis of Coronary Allograft Vasculopathy in Pediatric Heart Transplant Recipients [J].
Jeewa, Aamir ;
Dreyer, William J. ;
Kearney, Debra L. ;
Denfield, Susan W. .
CONGENITAL HEART DISEASE, 2012, 7 (04) :302-311
[4]   Optical coherence tomography for characterization of cardiac allograft vasculopathy after heart transplantation (OCTCAV study) [J].
Khandhar, Sameer J. ;
Yamamoto, Hirosada ;
Teuteberg, Jeffrey J. ;
Shullo, Michael A. ;
Bezerra, Hiram G. ;
Costa, Marco A. ;
Selzer, Faith ;
Lee, Joon S. ;
Marroquin, Oscar C. ;
McNamara, Dennis M. ;
Mulukutla, Suresh R. ;
Toma, Catalin .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2013, 32 (06) :596-602
[5]   Diverse morphologic manifestations of cardiac allograft vasculopathy: A pathologic study of 64 allograft hearts [J].
Lu, Wei-hui ;
Palatnik, Kathy ;
Fishbein, Gregory A. ;
Lai, Chi ;
Levi, Daniel S. ;
Perens, Gregory ;
Alejos, Juan ;
Kobashigawa, Jon ;
Fishbein, Michael C. .
JOURNAL OF HEART AND LUNG TRANSPLANTATION, 2011, 30 (09) :1044-1050
[6]   Intravascular ultrasound evidence of angiographically silent progression in coronary atherosclerosis predicts long-term morbidity and mortality after cardiac transplantation [J].
Tuzcu, EM ;
Kapadia, SR ;
Sachar, R ;
Ziada, KM ;
Crowe, TD ;
Feng, JY ;
Magyar, WA ;
Hobbs, RE ;
Starling, RC ;
Young, JB ;
McCarthy, P ;
Nissen, SE .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 2005, 45 (09) :1538-1542