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首页> 外文期刊>Journal of cardiac surgery. >Delayed complete recovery of graft dysfunction after cardiac transplantation.
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Delayed complete recovery of graft dysfunction after cardiac transplantation.

机译:心脏移植后移植物功能障碍的延迟完全恢复。

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摘要

Primary graft dysfunction is a major cause of morbidity and mortality early after cardiac transplantation. We present here a case of unspecific graft dysfunction in a 47-year-old female recipient of a heart transplant that could not be attributed to the unusual causes of this disorder. The patient manifested symptoms and signs of heart failure early postoperatively, and echocardiography together with right heart catheterization confirmed the diagnosis. There was no body size mismatch, graft preservation was optimal, pulmonary vascular resistance preoperatively was normal, and rejection episodes could not explain her deterioration. Standard medical therapy for heart failure was initiated, and the patient's symptoms improved, although graft dysfunction persisted for a period of 1.5 years. Afterward, a gradual spontaneous improvement occurred, resulting in complete recovery of graft function at six years postoperatively. In addition to the case presented, potential contributing factors to this syndrome, together with appropriate treatment options, are discussed.
机译:原发性移植物功能障碍是心脏移植后早期发病和死亡的主要原因。我们在这里介绍了一个47岁的心脏移植女性接受者中非特异性移植物功能障碍的病例,该病例不能归因于这种疾病的异常原因。病人在术后早期表现出心力衰竭的症状和体征,超声心动图和右心导管检查证实了诊断。没有体型不匹配,移植物保存最佳,术前肺血管阻力正常,排斥反应不能解释其恶化。尽管移植物功能障碍持续了1.5年,但开始了针对心力衰竭的标准药物治疗,患者的症状得到改善。此后,逐渐发生了自发性改善,导致术后六年移植物功能完全恢复。除了所介绍的病例外,还讨论了导致该综合征的潜在因素以及适当的治疗选择。

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