Korean J Thorac Cardiovasc Surg.
2010 Feb;43(1):73-76.
Heart Retransplantation in a Patient with Cardiac Allograft Vasculopathy after Primary Heart Transplantation?: A case report
- Affiliations
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- 1Department of Thoracic and Cardiovascular Surgery, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea. pwpark@skku.edu
- 2Department of Cardiology, Samsung Medical Center, Sungkyunkwan University School of Medicine, Korea.
Abstract
- Cardiac allograft vasculopathy (CAV) is a major factor that limits the long-term survival after cardiac transplantation. Because the main feature of CAV is a diffuse stenosis that predominantly develops in the distal arteries, reperfusion therapy has shown poor outcomes. The results of cardiac retransplantation for CAV are better than that for acute resection and the survival is identical to that of patients who undergo primary transplantation. We describe a case of performing cardiac retransplantation in a 28 year-old male patient with refractory CAV and who underwent primary transplantation due to dilated cardiomyopathy 8 years previously.
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