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Right arrow Transplantation - heart

Ann Thorac Surg 2004;78:1064-1066
© 2004 The Society of Thoracic Surgeons

Case report

Morphological and functional magnetic resonance imaging after heterotopic heart transplantation

Konstantin Nikolaou, MDa,*, Marion Weis, MDb, Stefan O. Schoenberg, MDa, Bruno Reichart, MDb, Maximilian F. Reiser, MDa

a Clinical Radiology, University of Munich, Grosshadern, Germany
b Cardiac Surgery, University of Munich, Grosshadern, Germany

Accepted for publication June 23, 2003.

* Address reprint requests to Dr Nikolaou, Department of Clinical Radiology, University of Munich, Grosshadern, Marchioninistr. 15, D-81377 Munich, Germany
konstantin.nikolaou{at}ikra.med.uni-muenchen.de

In patients with severe congestive heart failure, a marked elevation in pulmonary vascular resistance limits the success of orthotopic cardiac transplantation, providing the rationale for heterotopic transplantation. In the case reported, cardiac anatomy and function of two hearts in the same chest were imaged using magnetic resonance imaging (MRI). MRI offers a high-resolution, three-dimensional, noninvasive technique to visualize the complex anatomy after heterotopic heart transplantation, providing information of morphologic and functional parameters at the same time. The challenge of sufficient electrocardiogram triggering, hindered by two hearts with electrophysiological activity in the same chest, can be overcome using new real-time techniques.






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