Cardiovascular Pathology
Volume 19, Issue 2 , Pages 117-120 , March 2010

Bradycardia and syncope as a presentation of cardiac allograft rejection involving the conducting system

  • Carrie S. Knight

      Affiliations

    • Department of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • José A. Tallaj

      Affiliations

    • Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
    • Birmingham VA Medical Center, Birmingham, AL, USA
    • Corresponding Author InformationCorresponding author. THT 338, 1900 University Blvd, Birmingham, AL 35294, USA.
    • ,
  • Barry K. Rayburn

      Affiliations

    • Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Salpy V. Pamboukian

      Affiliations

    • Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Robert Bourge

      Affiliations

    • Department of Medicine, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • James K. Kirklin

      Affiliations

    • Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • David McGiffin

      Affiliations

    • Department of Surgery, University of Alabama at Birmingham, Birmingham, AL, USA
    • ,
  • Silvio H. Litovsky

      Affiliations

    • Department of Pathology, University of Alabama at Birmingham, Birmingham, AL, USA

Received 13 July 2008 ,Revised 16 September 2008 ,Accepted 10 October 2008.

References 

  1. Goldstein DR, Coffey CS, Benza RL, Nanda NC, Bourge RC. Relative perioperative bradycardia does not lead to adverse outcomes after cardiac transplantation. Am J Transplant. 2003;3:484–491
  2. Miyamoto Y, Curtiss EI, Kormos RL, Armitage JM, Hardesty RL, Griffith BP. Bradyarrhythmia after heart transplantation. Incidence, time course, and outcome. Circulation. 1990;82(Suppl 5):IV313–IV317
  3. Fishbein MC, Kobashigawa J. Biopsy-negative cardiac transplant rejection: etiology, diagnosis, and therapy. Curr Opin Cardiol. 2004;19:166–169
  4. Stovin PG, Hewitt S. Conduction tissue in the transplanted human heart. J Pathol. 1986;149:183–189
  5. Chang AC, Hruban RH, Levin HR, Baughman KL, Baumgartner WA, Reitz BA, et al. Comparison of rejection in the atrioventricular node and bundles with the working myocardium in transplanted hearts. J Heart Lung Transplant. 1991;10:915–920
  6. Foerster A. The conduction system in human cardiac allografts: a histological and immunopathological study. Pathol Res Pract. 1992;188:783–790
  7. Calzolari V, Angelini A, Basso C, Livi U, Rossi L, Thiene G. Histologic findings in the conduction system after cardiac transplantation and correlation with electrocardiographic findings. Am J Cardiol. 1999;84:756–759
  8. Bharati S, Billingham M, Lev M. The conduction system in transplanted hearts. Chest. 1992;102:1182–1188
  9. Chan JB, Levi DS, Lai CK, Alejos JC, Fishbein MC. Cellular rejection of the conduction system after orthotopic heart transplantation for congenital atrioventricular block. J Heart Lung Transplant. 2006;25:1371–1375

PII: S1054-8807(08)00136-1

doi: 10.1016/j.carpath.2008.10.006

Cardiovascular Pathology
Volume 19, Issue 2 , Pages 117-120 , March 2010

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