Trapianto cardiaco: ruolo dell'ecocardiografia nella diagnosi di rigetto.

Translated title of the contribution: Cardiac transplantation: role of echocardiography in the diagnosis of rejection

G. R. Ciliberto, G. Cataldo, E. Gronda, M. Mangiavacchi, A. Alberti, F. Faletra, A. Pezzano, R. de Maria, E. Bonacina, A. Pellegrini

Research output: Contribution to journalArticlepeer-review


Sixteen patients surviving orthotopic cardiac transplantation were studied by M-Mode and two dimensional echocardiography (ECHO) on the same day of cardiac biopsy during (n = 138) a mean follow-up of 6.2 +/- 4 months (range 1-4 months). The following parameters were measured: right ventricular end diastolic internal diameter (RVdD) left ventricular end diastolic internal diameter (LVdD), interventricular septum (IVS) and posterior wall (PW) diastolic thickness, myocardial mass (MM); LV cross sectional area (CSA) and ejection fraction (EF). LV and RV wall motion, pericardial effusion and myocardial echogenicity (brightness) were evaluated by inspection. Every ECHO was compared with the previous one for qualitative and quantitative changes. In the absence of rejection, analysis of the data during the first postoperative week showed the following results: mean EF = 51 +/- 6.8%, dilated overloaded RV (30.4 +/- 4.8 mm), various amount of pericardial effusion; FE increased significantly (55.3 +/- 4%; p less than 0.001) and RVdD decreased (26.6 +/- 5mm; p less than 0.001) after the 2nd week and remained stable thereafter, while pericardial effusion decreased or disappeared. The mean values of the remaining ECHO parameters did not very significantly during the follow-up.(ABSTRACT TRUNCATED AT 250 WORDS)

Translated title of the contributionCardiac transplantation: role of echocardiography in the diagnosis of rejection
Original languageItalian
Pages (from-to)184-191
Number of pages8
JournalGiornale Italiano di Cardiologia
Issue number3
Publication statusPublished - Mar 1988

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine


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