Oldham N, Ott R A, Allen B A, Fopiano P, Dwyer M
University of California Irvine Medical Center, Division of Cardiothoracic Surgery, Orange 92668.
Cathet Cardiovasc Diagn. 1991 Aug;23(4):300-1. doi: 10.1002/ccd.1810230415.
Transvenous endomyocardial biopsy remains the most useful diagnostic aid in assessing rejection in the transplanted heart. Although invasive, the complications associated with endomyocardial biopsy are few, and the procedure is generally regarded as safe. We report a case of apparent ventricular fibrillation complicating transvenous endomyocardial biopsy. Histologic section revealed evidence of moderate acute rejection. This case represents the first report of a life threatening ventricular dysrhythmia following routine endomyocardial biopsy in a cardiac transplant recipient.
经静脉心内膜心肌活检仍是评估移植心脏排斥反应最有用的诊断辅助手段。尽管具有侵入性，但与心内膜心肌活检相关的并发症很少，该操作通常被认为是安全的。我们报告了一例经静脉心内膜心肌活检并发明显心室颤动的病例。组织学切片显示有中度急性排斥反应的证据。该病例是心脏移植受者常规心内膜心肌活检后发生危及生命的室性心律失常的首例报告。
