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Early Acute Graft Rejection in a Heart Transplanted Child with Dilated Cardiomyopathy
- Source :
- Journal Of Cardiovascular Emergencies. 6:43-47
- Publication Year :
- 2020
- Publisher :
- Walter de Gruyter GmbH, 2020.
-
Abstract
- Dilated cardiomyopathy (DCM) is the most common type of cardiomyopathy in children. Heart transplantation is considered standard therapy in dilated cardiomyopathy with end-stage heart failure. We present a case of a 15-year-old patient diagnosed with DCM in the neonatal period, who underwent heart transplantation for end-stage heart failure. Despite the use of induction therapy, the endomyocardial biopsy performed at two weeks post-transplant revealed mixed moderate cellular (2R) and humoral (pAMR2) allograft rejection. Aggressive rejection treatment was initiated with good outcome. Besides endomyocardial biopsy, advanced echocardiography can also be a valuable noninvasive tool for rejection assessment.
Details
- ISSN :
- 24575518
- Volume :
- 6
- Database :
- OpenAIRE
- Journal :
- Journal Of Cardiovascular Emergencies
- Accession number :
- edsair.doi...........53dff45e309ba53638a6016fd02fcec4