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Ann Thorac Surg 2001;71:1259
© 2001 The Society of Thoracic Surgeons

Invited commentary

Roberto M. Di Donato, MDa

a Department of Pediatric Cardiac Surgery, Bambino Gesù Hospital, Piazza S. Onofrio, 4, 00165 Rome, Italy

e-mail: didonato@opbg.net

The potential for "physiologic" growth of the myocardium (hyperplasia and angiogenesis) is lost very early in life. Myocyte response to pressure overload is considered the result of intermingling phenomena of cell replication and hypertrophy on one side, and myocyte necrosis and apoptosis on the other side, a process known as "plasticity of the myocardium." Noteworthy, a few adult cardiac myocytes seem capable to reexpress fetal proteins and proliferate following sudden pressure overload. However, after the first few weeks . . . [Full Text of this Article]


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