Reversible graft dysfunction after cardiac transplantation.

被引:0
|
作者
Obadia, JF
Boissonnat, P
Bastien, O
Flamens, C
Martelloni, Y
Diab, C
Elfarra, M
Chassignolle, JF
Dureau, G
机构
[1] Hop Cardiol, Serv Chirurg Cardiothorac A, F-69003 Lyon, France
[2] Hop Cardiol, Serv Cardiol, F-69003 Lyon, France
[3] Hop Cardiol, Serv Anesthesie Reanimat, F-69003 Lyon, France
[4] Hop Cardiol, INSERM, U121, F-69003 Lyon, France
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R5 [内科学];
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1002 ; 100201 ;
摘要
The authors report 3 cases of major graft dysfunction after cardiac transplantation which recovered completely with biventricular mechanical assistance in 4 to 8 days. All three cases were primary biventricular graft failures in patients with normal preoperative pulmonary resistances. These early dysfunctions (with no signs of myocardial infarction on electro-or echocardiography and in the absence of abnormal increased peri-operative enzyme levels) associated with total functional recovery conforming to the definition of the phenomenon of myocardial stunning. These results argue in favour of aggressive management of primary graft dysfunction.
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页码:253 / 256
页数:4
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