Echocardiographic evidence of right ventricular remodeling after transplantation

被引:9
作者
Eltzschig, HK
Mihaljevic, T
Byrne, JG
Ehlers, R
Smith, B
Shernan, SK
机构
[1] Harvard Univ, Sch Med, Brigham & Womens Hosp,Div Cardiac Surg, Dept Anesthesiol Perioperat & Pain Med, Boston, MA 02115 USA
[2] Harvard Univ, Sch Med, Brigham & Womens Hosp, Div Cardiovasc, Boston, MA 02115 USA
关键词
D O I
10.1016/S0003-4975(02)03576-2
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Right ventricular (RV) failure is a significant source of mortality after cardiac transplantation. The use of RV assist devices (RVAD) as a bridge to recovery has been reported. However, early changes of RV structure and anatomy after RVAD implantation have yet to be described. We report a case of RV failure after transplantation requiring RVAD implantation. After 3 weeks of gradual weaning of inotropic and RVAD support, the device was explanted successfully. Transesophageal echocardiography documents RV hypertrophy and remodeling between RVAD implantation and removal, suggesting a rapid adaptive response of the right ventricle in the presence of pulmonary hypertension.
引用
收藏
页码:584 / 586
页数:3
相关论文
共 6 条
[1]   Inhaled nitric oxide for pulmonary hypertension after heart transplantation [J].
Ardehali, A ;
Hughes, K ;
Sadeghi, A ;
Esmailian, F ;
Marelli, D ;
Moriguchi, J ;
Hamilton, MA ;
Kobashigawa, J ;
Laks, H .
TRANSPLANTATION, 2001, 72 (04) :638-641
[2]   Molecular and functional mechanisms of right ventricular adaptation in chronic pulmonary hypertension [J].
Chen, EP ;
Akhter, SA ;
Bittner, HB ;
Koch, WT ;
Davis, RD ;
Van Trigt, P .
ANNALS OF THORACIC SURGERY, 1999, 67 (04) :1053-1058
[3]  
Chen EP, 1997, CIRCULATION, V96, P141
[4]  
Chen EP, 1998, J HEART LUNG TRANSPL, V17, P669
[5]   Experience with right ventricular assist devices for perioperative right sided circulatory failure [J].
Chen, JM ;
Levin, HR ;
Rose, EA ;
Addonizio, LJ ;
Landry, DW ;
Sistino, JJ ;
Michler, RE ;
Oz, MC .
ANNALS OF THORACIC SURGERY, 1996, 61 (01) :305-310
[6]   INFLUENCE OF PREOPERATIVE PULMONARY-ARTERY PRESSURE ON MORTALITY AFTER HEART-TRANSPLANTATION - TESTING OF POTENTIAL REVERSIBILITY OF PULMONARY-HYPERTENSION WITH NITROPRUSSIDE IS USEFUL IN DEFINING A HIGH-RISK GROUP [J].
COSTARDJACKLE, A ;
FOWLER, MB .
JOURNAL OF THE AMERICAN COLLEGE OF CARDIOLOGY, 1992, 19 (01) :48-54