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THE JOURNAL OF CARDIOVASCULAR SURGERY
A Journal on Cardiac, Vascular and Thoracic Surgery
Indexed/Abstracted in: BIOSIS Previews, Current Contents/Clinical Medicine, EMBASE, PubMed/MEDLINE, Science Citation Index Expanded (SciSearch), Scopus
Impact Factor 1,632
CASE REPORTS CARDIAC PAPERS
The Journal of Cardiovascular Surgery 1998 April;39(2):223-5
Echo-guided endomyocardial biopsy in heterotopic heart transplantation. Case report
Grande A. M., De Pieri G., Pederzolli C., Rinaldi M., Viganò M.
From the Istituto di Chirurgia Generale e dei Trapianti d'Organo Divisione Cardiochirurgia IRCCS Policlinico S. Matteo Università degli Studi di Pavia, Italy
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Right ventricular endomyocardial biopsy is difficult to perform in patients who underwent heterotopic heart transplantation because of the complex vascular anatomy. The procedure is usually performed under fluoroscopic control. We present a case of a 59-year-old woman that after heterotopic heart transplantation underwent echo-guided endomyocardial biopsy. We report the technique discussing data obtained in other 11 patients heart transplanted in the heterotopic way. In conclusion we believe that echocardiographic guidance during endomyocardial biopsy allows a better choice of bite sites, reduces the risk of free wall perforation. Moreover is diminished the risk of X-ray exposure to both patient and operator.