Abstract
Coronary intravascular ultrasound imaging has been found to be the most sensitive method for detecting postcardiac transplantation coronary vasculopathy. Techniques for this type of imaging have been well established for adult patients, but coronary intravascular ultrasound imaging in young children has not been previously reported. We describe the cases of 2 children, ages 8.5 years and 9 months, respectively, who had confusing clinical pictures after cardiac transplantation. Currently available imaging equipment and techniques were used in these children to visualize the coronary arteries. The results of ultrasound imaging were considered helpful in determining future treatment for these 2 pediatric patients.
Full text
PDF
Images in this article
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Dressler F. A., Miller L. W. Necropsy versus angiography: how accurate is angiography? J Heart Lung Transplant. 1992 May-Jun;11(3 Pt 2):S56–S59. [PubMed] [Google Scholar]
- Gao S. Z., Schroeder J. S., Hunt S. A., Billingham M. E., Valantine H. A., Stinson E. B. Acute myocardial infarction in cardiac transplant recipients. Am J Cardiol. 1989 Nov 15;64(18):1093–1097. doi: 10.1016/0002-9149(89)90858-8. [DOI] [PubMed] [Google Scholar]
- Pflugfelder P. W., Boughner D. R., Rudas L., Kostuk W. J. Enhanced detection of cardiac allograft arterial disease with intracoronary ultrasonographic imaging. Am Heart J. 1993 Jun;125(6):1583–1591. doi: 10.1016/0002-8703(93)90744-t. [DOI] [PubMed] [Google Scholar]
- Schroeder J. S., Hunt S. A. Chest pain in heart-transplant recipients. N Engl J Med. 1991 Jun 20;324(25):1805–1807. doi: 10.1056/NEJM199106203242509. [DOI] [PubMed] [Google Scholar]
- St Goar F. G., Pinto F. J., Alderman E. L., Valantine H. A., Schroeder J. S., Gao S. Z., Stinson E. B., Popp R. L. Intracoronary ultrasound in cardiac transplant recipients. In vivo evidence of "angiographically silent" intimal thickening. Circulation. 1992 Mar;85(3):979–987. doi: 10.1161/01.cir.85.3.979. [DOI] [PubMed] [Google Scholar]
- Uretsky B. F., Kormos R. L., Zerbe T. R., Lee A., Tokarczyk T. R., Murali S., Reddy P. S., Denys B. G., Griffith B. P., Hardesty R. L. Cardiac events after heart transplantation: incidence and predictive value of coronary arteriography. J Heart Lung Transplant. 1992 May-Jun;11(3 Pt 2):S45–S51. [PubMed] [Google Scholar]
- Ventura H. O., White C. J., Jain S. P., Smart F. W., Jain A., Stapleton D. D., Collins T. J., Ramee S. R. Assessment of intracoronary morphology in cardiac transplant recipients by angioscopy and intravascular ultrasound. Am J Cardiol. 1993 Oct 1;72(11):805–809. doi: 10.1016/0002-9149(93)91066-q. [DOI] [PubMed] [Google Scholar]