La biopsia endomiocardica in età pediatrica.

Translated title of the contribution: Endomyocardial biopsy in childhood

M. G. Gagliardi, M. Bevilacqua, F. Parisi, S. Giannico, C. Marcelletti

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

The experience with endomyocardial biopsy in pediatric age is still limited. From February 1986 to August 1990, 144 right ventricle endomyocardial biopsies were performed in 84 patients (age range 33 days--14 years, median age 31 months, weight range 3--57 kgs). Clinical diagnosis was: dilated cardiomyopathy in 50 patients; graft reject in 19; hypertrophic cardiomyopathy in 4; restrictive cardiomyopathy in 5; heart tumor in 3; ventricular arrhythmia in 3. The bioptome was introduced directly, without the use of a long sheath. There were no major complications; 2 patients experienced complete transient atrioventricular block and in 1 case right ventricular perforation occurred. In 11/45 patients (27%) with the clinical diagnosis of dilated cardiomyopathy and available myocardial specimens, acute myocarditis was diagnosed. In 47/65 procedures in the transplanted patients, a moderate to severe rejection was diagnosed. In the remaining patients, endomyocardial biopsy did not help the clinical diagnosis. We conclude that the right ventricular endomyocardial biopsy is a safe procedure in pediatric age; its utility is mostly limited to the diagnosis of acute myocarditis and graft reject after cardiac transplantation.

Original languageItalian
Pages (from-to)963-968
Number of pages6
JournalGiornale Italiano di Cardiologia
Volume22
Issue number8
Publication statusPublished - Aug 1992

Fingerprint

Biopsy
Myocarditis
Dilated Cardiomyopathy
Restrictive Cardiomyopathy
Pediatrics
Transplants
Heart Neoplasms
Atrioventricular Block
Hypertrophic Cardiomyopathy
Heart Transplantation
Heart Ventricles
Cardiac Arrhythmias
Weights and Measures

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Cite this

La biopsia endomiocardica in età pediatrica. / Gagliardi, M. G.; Bevilacqua, M.; Parisi, F.; Giannico, S.; Marcelletti, C.

In: Giornale Italiano di Cardiologia, Vol. 22, No. 8, 08.1992, p. 963-968.

Research output: Contribution to journalArticle

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