New developments in the diagnosis and management of cardiac allograft vasculopathy

M. R. Mehra, H. O. Ventura, F. W. Smart, D. D. Stapleton, T. J. Collins, S. R. Ramee, J. P. Murgo, C. J. White

Research output: Contribution to journalArticle

13 Scopus citations

Abstract

The major cause of late death in cardiac transplant recipients is cardiac allograft vasculopathy, also referred to as cardiac transplant atherosclerosis, which occurs in as many as 45% of transplant recipients who survive longer than 1 year. It differs from typical atherosclerosis in that intimal hyperplasia is concentric and diffuse, the internal elastic lamina remains intact, calcification is rare, and the disease tends to develop rapidly. Intravascular ultrasound and coronary angioscopy are more sensitive diagnostic measures of cardiac allograft vasculopathy than is coronary angiography. Although retransplantation at present seems to be the only definitive therapy for cardiac allograft vasculopathy, it has shown only fair results. Recent studies have suggested that calcium entry blockers and angiotensin converting enzyme inhibitors may play a beneficial role in delaying the progression of cardiac allograft vasculopathy.

Original languageEnglish (US)
Pages (from-to)138-144
Number of pages7
JournalTexas Heart Institute Journal
Volume22
Issue number2
StatePublished - Jan 1 1995
Externally publishedYes

Keywords

  • Angioscopy
  • coronary vessels/ultrasonography
  • graft occlusion, vascular
  • transplantation, homologous

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

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  • Cite this

    Mehra, M. R., Ventura, H. O., Smart, F. W., Stapleton, D. D., Collins, T. J., Ramee, S. R., Murgo, J. P., & White, C. J. (1995). New developments in the diagnosis and management of cardiac allograft vasculopathy. Texas Heart Institute Journal, 22(2), 138-144.