Florence S H, Hutton L C, McKenzie F N, Kostuk W J
Department of Diagnostic Radiology, University Hospital, University of Western Ontario, London.
Can Assoc Radiol J. 1988 Jun;39(2):115-7.
The preoperative and postoperative chest radiographs of 44 patients undergoing 45 orthotopic cardiac allografts were evaluated retrospectively. Patients were followed from two months to four years postoperatively. Radiographic findings were correlated with echocardiograms and endocardial biopsies. The postoperative cardio-pericardial silhouette stabilized in size by six months. Contrary to previous reports, any marked increase in size of the cardiac silhouette in this series was due to pericardial effusion and not to cardiac rejection. Unusual postoperative features of the chest radiographs included calcification of the residual native left atrium, localized pericardial effusion simulating a left ventricular aneurysm, and a prominent left atrial appendage.
对44例接受45次原位心脏同种异体移植患者的术前和术后胸部X光片进行了回顾性评估。对患者进行了术后两个月至四年的随访。影像学检查结果与超声心动图和心内膜活检结果相关联。术后心脏-心包轮廓在六个月时大小稳定。与先前的报告相反，该系列中任何心脏轮廓大小的明显增加都是由于心包积液而非心脏排斥反应。胸部X光片的异常术后特征包括残留的左心房钙化、模拟左心室瘤的局限性心包积液以及突出的左心耳。
