Cohnert T R, Kemnitz J, Haverich A, Dralle H
Institute of Pathology, Hannover Medical School, Lower Saxony, Federal Republic of Germany.
J Heart Transplant. 1988 Jul-Aug;7(4):304-8.
Two cases with a remarkable similarity in their clinical and histopathologic findings are reported. Both cases involved myocardial calcification found in biopsy material obtained after orthotopic heart transplantation. Myocardial calcification after heart transplantation so far has been described in only one case in the medical literature and thus appears to be a rare entity. Its occurrence is associated with a certain constellation of clinical situations, which include repeated episodes of acute rejection, temporary uremia, periods of septicemia, alcoholism, and cyclosporine and/or steroid therapy.
报告了两例临床和组织病理学表现极为相似的病例。两例均在原位心脏移植后获取的活检材料中发现心肌钙化。迄今为止,医学文献中仅报道过一例心脏移植后心肌钙化的病例,因此这似乎是一种罕见的情况。其发生与特定的一系列临床情况相关,包括急性排斥反应反复发作、暂时性尿毒症、败血症期、酗酒以及环孢素和/或类固醇治疗。