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• W2079661302 abstract "HomeCirculationVol. 104, No. 23Regression of a Donor Atheroma After Cardiac Transplantation Free AccessOtherPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessOtherPDF/EPUBRegression of a Donor Atheroma After Cardiac TransplantationSerial Observations With Intravascular Ultrasound Hiroshi Tsutsui, MD, Paul Schoenhagen, MD, Jon D. Klingensmith, MS, D. Geoffrey Vince, PhD, Steven E. Nissen, MD and E. Murat Tuzcu, MD Hiroshi TsutsuiHiroshi Tsutsui From the Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio. Search for more papers by this author , Paul SchoenhagenPaul Schoenhagen From the Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio. Search for more papers by this author , Jon D. KlingensmithJon D. Klingensmith From the Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio. Search for more papers by this author , D. Geoffrey VinceD. Geoffrey Vince From the Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio. Search for more papers by this author , Steven E. NissenSteven E. Nissen From the Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio. Search for more papers by this author and E. Murat TuzcuE. Murat Tuzcu From the Department of Cardiology, Cleveland Clinic Foundation, Cleveland, Ohio. Search for more papers by this author Originally published4 Dec 2001https://doi.org/10.1161/hc4801.098266Circulation. 2001;104:2874A 42-year-old man received a cardiac transplantation in October 1995 for dilated cardiomyopathy. He had no history of hyperlipidemia or coronary artery disease. The heart donor was a 41-year-old woman with a history of hypertension. The first intravascular ultrasound (IVUS) study was obtained 14 days after cardiac transplantation, and the last follow-up examination was performed 5 years later. Figures 1 and 2 show a hypoechoic atheroma in the proximal left anterior descending artery that was transmitted from the donor. At this site, serial IVUS imaging demonstrates apparent spontaneous regression of the donor atheroma (Figures 1 and 2). The presence of prominent perivascular landmarks confirms the identical location of IVUS images from both time points. Of note, the regression in atheroma volume is accompanied by new calcification, a process that is thought to represent plaque stabilization. These changes show a dramatic regression in a transmitted donor atheroma after cardiac transplantation and suggest the potential for antiatherosclerotic therapy to regress atherosclerosis in the natural course of native coronary artery disease. Download figureDownload PowerPointFigure 1. Reconstructed 3D IVUS images and IVUS still images. The blue lines on the 3D images show the lumen area in each slice. Baseline study is shown on left; images 5 years after transplantation are shown on right.Download figureDownload PowerPointFigure 2. Sequential IVUS still images matched for the two IVUS examinations. Baseline study is shown on top; images 5 years after transplantation are shown on bottom.The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke‘s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to the Circulation Editorial Office, St Luke‘s Episcopal Hospital/Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.Dr Tsutsui was partially supported by a research grant from the Japanese Association for the Advancement of Medical Equipment, which is affiliated with the Ministry of Health and Welfare of Japan.FootnotesCorrespondence to E. Murat Tuzcu, MD, Department of Cardiology F25, the Cleveland Clinic Foundation, 9500 Euclid Avenue, Cleveland, Ohio 44195. E-mail [email protected] Previous Back to top Next FiguresReferencesRelatedDetailsCited By Segovia J, Gómez-Bueno M and Alonso-Pulpón L (2006) Treatment of allograft vasculopathy in heart transplantation, Expert Opinion on Pharmacotherapy, 10.1517/14656566.7.17.2369, 7:17, (2369-2383), Online publication date: 1-Dec-2006. (2005) References IVUS Made Easy, 10.1201/b14369-9, (95-107), Online publication date: 13-Sep-2005. Wong B, Rahmani M, Rezai N and McManus B (2005) Progress in heart transplantation, Cardiovascular Pathology, 10.1016/j.carpath.2005.05.001, 14:4, (176-180), Online publication date: 1-Jul-2005. Nissen S (2004) Seeing is believing: imaging techniques to measure atherosclerosis progression, International Congress Series, 10.1016/S0531-5131(03)01864-8, 1262, (257-260), Online publication date: 1-May-2004. Valantine H (2003) Cardiac allograft vasculopathy: central role of endothelial injury leading to transplant ???atheroma???, Transplantation, 10.1097/01.TP.0000080981.90718.EB, 76:6, (891-899), Online publication date: 1-Sep-2003. Segovia J (2002) Update on cardiac allograft vasculopathy, Current Opinion in Organ Transplantation, 10.1097/00075200-200209000-00005, 7:3, (240-251), Online publication date: 1-Sep-2002. Nadar S, Lim H, Beevers D and Lip G (2002) Lipid lowering in hypertension and heart protection: observations from the Anglo-Scandinavian Cardiac Outcomes Trial (ASCOT) and the Heart Protection Study, Journal of Human Hypertension, 10.1038/sj.jhh.1001512, 16:12, (815-817), Online publication date: 1-Dec-2002. Hurskainen M, Ainasoja O and Lemström K (2021) Failing Heart Transplants and Rejection—A Cellular Perspective, Journal of Cardiovascular Development and Disease, 10.3390/jcdd8120180, 8:12, (180) December 4, 2001Vol 104, Issue 23 Advertisement Article InformationMetrics https://doi.org/10.1161/hc4801.098266 Originally publishedDecember 4, 2001 PDF download Advertisement" @default.
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