Hostname: page-component-76fb5796d-dfsvx Total loading time: 0 Render date: 2024-04-25T13:15:34.071Z Has data issue: false hasContentIssue false
  • English
  • Français

Echocardiographic evaluation before and after cardiac transplantation

Published online by Cambridge University Press:  21 September 2005

Alfred Asante-Korang
Alfred Asante-Korang
Affiliation:
Department of Pediatric Cardiology, Congenital Heart Institute of Florida and University of South Florida/All Children's Hospital, USF College of Medicine, Tampa, FL, USA
Get access Rights & Permissions [Opens in a new window]

Extract

Transplantation of the heart remains a viable option not only as primary treatment for hypoplastic left heart syndrome, but also for end-stage problems after the Norwood sequence of palliations. In this review, I discuss the pre-operative, intra-operative, and post-operative echocardiographic evaluation of these patients, with special emphasis on hemodynamic and functional assessment as well as surveillance for rejection and coronary arterial disease.

Type
Heart Transplantation
Information
Cardiology in the Young , Volume 14 , Issue S1 , February 2004 , pp. 88 - 92
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Noonan JA, Nadas AS. The hypoplastic left heart: an analysis of 101 cases. Paediatr Clin North Am 1958; 5: 1029–1057.Google Scholar
Roberts WC, Perry LW, Chandra RS, Myers GE, Shapiro SR, Scott LP. Aortic valve atresia: a new classification based on necropsy study of 73 cases. Am J Cardiol 1976; 37: 753–756.Google Scholar
Hawkins JA, Doty DB. Aortic atresia: morphologic characteristics affecting survival and operative palliation. J Thorac Cardiovasc Surg 1984; 88: 620–626.Google Scholar
Edwards JE, Dushane JW. Thoracic venous anomalies. Arch Pathol 1950; 49: 517–537.Google Scholar
Bailey LL, Nehlsen-Cannarella SL, Doroshow RW, Jacobson JG, Martin RD, Allard MW, Hyde M, Dang Bui R, Petry E. Cardiac allotransplantation in newborns as therapy for hypoplastic left heart syndrome. N Engl J Med 1986; 315: 949–951.Google Scholar
el Gamel A, Yonan NA, Grant S, Deiraniya AK, Rahman AN, Sarsam MA, Campbell CS. Orthotopic cardiac transplantation: a comparison of standard and bicaval Wythenshawe techniques. J Thorac Cardiovasc Surg 1995; 109: 729–730.Google Scholar
Bhatia SJ, Kirshenbaum JM, Shemin RJ, Cohn LH, Collins JJ, Di Sesa VJ, Young PJ, Mudge GH Jr, Sutton MG. Time course of resolution of pulmonary hypertension and right ventricular remodeling after orthotopic cardiac transplantation. Circulation 1987; 76: 819–826.Google Scholar
Cladellas M, Oriol A, Caralps JM. Quantitative assessment of valvular function after cardiac transplantation by pulsed Doppler echocardiography. Am J Cardiol 1994; 73: 1197–1201.Google Scholar
Williams MJ, Lee MY, Disalvo TG, Dec GW, Picard MH, Palacios IF, Semigran MJ. Biopsy-induced flail tricuspid leaflets and tricuspid regurgitation following orthotopic heart transplantation. Am J Cardiol 1996; 77: 1339–1344.Google Scholar
Hussain A, Balzer D, Thomas P, Ruble S, Canter C. Tricuspid regurgitation after pediatric cardiac transplantation. J Heart Lung Transplant 1996; 15: 583.Google Scholar
Kimball TR, Witt SA, Khoury PR, Daniels SR. Automated echocardiographic analysis of systemic ventricular performance in hypoplastic left heart syndrome. J Am Soc Echocardiogr 1996; 9: 629–636.Google Scholar
Tei C. New non-invasive index for combined systolic and diastolic ventricular function. J Cardiol 1995; 26: 135–136.Google Scholar
Eto G, Ishii M, Tei C, Tsutsumi T, Akagi T, Kato H. Assessment of Global Left Ventricular Function in Normal Children and in Children with Dilated Cardiomyopathy. J Am Soc Echocardiogr 1999; 12: 1058–1064.Google Scholar
Reemtsma K, Hardy MA, Drusin RE, Smith CR, Rose EA. Cardiac transplantation. Changing patterns in evaluation and treatment. Ann Surg 1985; 202: 418–424.Google Scholar
Sagar KB, Hastillo A, Wolfgang TC, Lower RR, Hess ML. Left ventricular mass by M-mode echocardiography in cardiac transplant patients with acute rejection. Circulation 1981; 64 (2 Pt 2): II217–II220.Google Scholar
Boucek RJ, Asante-Korang A, Boucek M, Fickey M. Myocardial Wall Doppler Imaging. J Heart Lung Transplant 2002; 21: 84.Google Scholar
Weitzman LB, Tinker WP, Kronzon I, Cohen ML, Glassman E, Spencer FC. The incidence and natural history of pericardial effusions after cardiac surgery – an echocardiographic study. Circulation 1984; 69: 506–511.Google Scholar
Boucek MM, Mathis CM, Boucek RJ Jr, Hodgkin DD, Kanakriyeh MS, McCormack J, Gundry SR, Bailey LL. Prospective evaluation of echocardiography for primary rejection surveillance after infant heart transplantation: comparison with endomyocardial biopsy. J Heart Lung Transplant 1994; 13 (1 Pt 1): 66–73.Google Scholar
Boucek MM, Mathis CM, Kanakriyeh MS, Hodgkin DD, Boucek RJ Jr, Bailey LL. Serial echocardiographic evaluation of cardiac graft rejection after infant heart transplantation. J Heart Lung Transplant 1993; 12: 824–831.Google Scholar
Garcia MJ, Thomas JD, Klein AL. New Doppler echocardiographic applications for the study of diastolic function. J Am Coll Cardiol 1998; 32: 865–875.Google Scholar
Gorcsan J III, Gulati VK, Mandarino WA, Katz WE. Color-coded measures of myocardial velocity throughout the cardiac cycle by tissue Doppler imaging to quantify regional left ventricular function. Am Heart J 1996; 131: 1203–1213.Google Scholar
Asante-Korang A, Fickey M, Boucek MM, Boucek RJ Jr. Diastolic performance assessed by tissue Doppler following pediatric heart transplantation. Accepted with revisions. J Heart Lung Transplant 2004: in press.Google Scholar
Puleo JA, Aranda JM, Weston MW, Cintron G, French M, Clark L, Fontanet HL. Noninvasive detection of allograft rejection in heart transplant recipients by use of Doppler tissue imaging. J Heart Lung Transplant 1998; 17: 176–184.Google Scholar
Sigfusson G, Fricker FJ, Bernstein D, Addonizio LJ, Baum D, Hsu DT, Chin C, Miller SA, Boyle GJ, Miller J, Lawrence KS, Douglas JF, Griffith BP, Reitz BA, Michler RE, Rose EA, Webber SA. Long-term survivors of pediatric heart transplantation; a multicenter report of sixty-eight children who survived longer than five years. J Pediatr 1997; 130: 862–867.Google Scholar
Mulla NF, Johnston JK, Vander Dussen L, Beeson WL, Chinnock RE, Bailey LL, Larsen RL. Late rejection is a predictor of transplant coronary artery disease in children. J Am Coll Cardiol 2001; 37: 243–250.Google Scholar
Grant SC, Brooks NH, Levy RD. Routine coronary angiography after heart transplantation. Heart 1997; 78: 101–102.Google Scholar
Pahl E, Zales VR, Fricker FJ, Addonizio LJ. Posttransplant coronary artery disease in children. A multicenter national survey. Circulation 1994; 90 (5 Pt 2): II56–II60.Google Scholar
Schratz LM, Meyer RA, Schwartz DC. Serial intracoronary ultrasound in children: feasibility, reproducibility, limitations and safety. J Am Soc Echocardiogr 2002; 15: 782–790.Google Scholar
Spes CH, Mudra H, Schnaack SD, Klauss V, Reichle FM, Uberfuhr P, Theisen K, Angermann CE. Dobutamine stress echocardiography for noninvasive diagnosis of cardiac allograft vasculopathy: a comparison with angiography and intravascular ultrasound. Am J Cardiol 1996; 78: 168–174.Google Scholar
Pahl E, Crawford SE, Swenson JM, Duffy CE, Fricker FJ, Backer CL, Mavroudis C, Chaudhry FA. Dobutamine stress echocardiography: experience in pediatric heart transplant recipients. J Heart Lung Transplant 1999; 18: 725–732.Google Scholar
Larsen RL, Applegate PM, Dyar DA, Ribeiro PA, Fritzsche SD, Mulla NF, Shirali GS, Kuhn MA, Chinnock RE, Shah PM. Dobutamine stress echocardiography for assessing coronary artery disease after heart transplantation in children. J Am Coll Cardiol 1998; 32: 515–520.Google Scholar
Putzer GJ, Cooper D, Keehn C, Asante-Korang A, Boucek MM, Boucek RJ Jr. An improved echocardiographic rejection-surveillance strategy following pediatric heart transplantation. J Heart Lung Transplant 2000; 19: 1166–1174.Google Scholar