HYPERACUTE REJECTION IN HEART ALLOGRAFTS

被引:7
作者
KEMNITZ, J [1 ]
CREMER, J [1 ]
RESTREPOSPECHT, I [1 ]
HAVERICH, A [1 ]
ZIEMER, G [1 ]
HEUBLEIN, B [1 ]
BORST, HG [1 ]
UYSAL, A [1 ]
GEORGII, A [1 ]
机构
[1] HANNOVER UNIV, SCH MED, DEPT CARDIOVASC SURG, HANNOVER, GERMANY
关键词
HYPERACUTE REJECTION; HEART ALLOGRAFTS; TRANSPLANTATION;
D O I
10.1016/S0344-0338(11)81040-X
中图分类号
R36 [病理学];
学科分类号
100104 ;
摘要
Hyperacute rejection in orthotopic heart allografts is a rare event. In our material from a total collective of 524 heart-transplanted patients, we have observed two cases of hyperacute rejection, which are presented in this case report. Histopathologically, this entity is characterized above all by the following triad: pronounced edema, hemorrhages, and regressive changes up to necroses of myocytes. Besides the well-known risk factors, our report draws attention to two further factors possibly associated with an increased risk of hyperacute rejection: 1) repeated cardiac surgery prior to the transplantation, and 2) presence of identical viral genomes in recipient's and donor's heart.
引用
收藏
页码:23 / 29
页数:7
相关论文
共 20 条
[1]  
BILLINGHAM ME, 1973, TRANSPL P, V5, P741
[2]   SOME RECENT ADVANCES IN CARDIAC PATHOLOGY [J].
BILLINGHAM, ME .
HUMAN PATHOLOGY, 1979, 10 (04) :367-386
[3]   IDENTIFICATION OF THE ANTIBODY TO VASCULAR ENDOTHELIAL-CELLS IN PATIENTS UNDERGOING CARDIAC TRANSPLANTATION [J].
BRASILE, L ;
ZERBE, T ;
RABIN, B ;
CLARKE, J ;
ABRAMS, A ;
CERILLI, J .
TRANSPLANTATION, 1985, 40 (06) :672-675
[4]   DETECTION OF VIRAL GENOMES IN CULTURED-CELLS AND PARAFFIN-EMBEDDED TISSUE-SECTIONS USING BIOTIN-LABELED HYBRIDIZATION PROBES [J].
BRIGATI, DJ ;
MYERSON, D ;
LEARY, JJ ;
SPALHOLZ, B ;
TRAVIS, SZ ;
FONG, CKY ;
HSIUNG, GD ;
WARD, DC .
VIROLOGY, 1983, 126 (01) :32-50
[5]  
BRUNT EM, 1989, PRINCIPLES ORGAN TRA, P105
[6]   THE VASCULAR ENDOTHELIAL CELL ANTIGEN SYSTEM [J].
CERILLI, J ;
BRASILE, L ;
GALOUZIS, T ;
LEMPERT, N ;
CLARKE, J .
TRANSPLANTATION, 1985, 39 (03) :286-289
[7]  
DEMETRIS AJ, 1988, AM J PATHOL, V132, P489
[8]  
FLYE MW, 1989, PRINCIPLES ORGAN TRA, P18
[9]  
FORBES RDC, 1975, LAB INVEST, V33, P280
[10]   CARDIAC TRANSPLANTATION WITH CYCLOSPORIN-A AND PREDNISONE [J].
GRIFFITH, BP ;
HARDESTY, RL ;
DEEB, GM ;
STARZL, TE ;
BAHNSON, HT .
ANNALS OF SURGERY, 1982, 196 (03) :324-329