Echocardiographic evidence of right ventricular remodeling after transplantation.
case_report · Level V
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- Record sourced from PubMed, PMID 12173855.
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Abstract
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.
Medical subject headings
- Echocardiography, Transesophageal
- Heart Transplantation
- Ventricular Remodeling