Absence of Trypanosoma cruzi myocardial infection reactivation in Chagas' heart transplant
The risk of Trypanosoma cruzi myocardial infection reactivation after immunosuppressive therapy has led to precluding heart transplantation as a therapeutic procedure for patients with end-stage Chagas' heart disease. We report a case of an orthotopic heart transplantation in a 43-year-old crit...
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Published in | Cardiovascular pathology Vol. 3; no. 4; pp. 257 - 259 |
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Main Authors | , , , |
Format | Journal Article |
Language | English |
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United States
Elsevier Inc
01.10.1994
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Abstract | The risk of
Trypanosoma cruzi myocardial infection reactivation after immunosuppressive therapy has led to precluding heart transplantation as a therapeutic procedure for patients with end-stage Chagas' heart disease. We report a case of an orthotopic heart transplantation in a 43-year-old critically ill chagasic patient with an uneventful postoperative period. He was treated with azathioprine and cyclosporine to control graft rejection and showed no reactivation of the chagasic infection. One year following surgery, the patient is doing well. Nonsteroidal therapy appears not to reactivate
T. cruzi infection in transplant chagasic patients. |
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AbstractList | The risk of
Trypanosoma cruzi myocardial infection reactivation after immunosuppressive therapy has led to precluding heart transplantation as a therapeutic procedure for patients with end-stage Chagas' heart disease. We report a case of an orthotopic heart transplantation in a 43-year-old critically ill chagasic patient with an uneventful postoperative period. He was treated with azathioprine and cyclosporine to control graft rejection and showed no reactivation of the chagasic infection. One year following surgery, the patient is doing well. Nonsteroidal therapy appears not to reactivate
T. cruzi infection in transplant chagasic patients. The risk of Trypanosoma cruzi myocardial infection reactivation after immunosuppressive therapy has led to precluding heart transplantation as a therapeutic procedure for patients with end-stage Chagas' heart disease. We report a case of an orthotopic heart transplantation in a 43-year-old critically ill chagasic patient with an uneventful postoperative period. He was treated with azathioprine and cyclosporine to control graft rejection and showed no reactivation of the chagasic infection. One year following surgery, the patient is doing well. Nonsteroidal therapy appears not to reactivate T. cruzi infection in transplant chagasic patients. |
Author | Teno, Luiz A.C. Bestetti, Reinaldo B. Castilho, Oswaldo T. Freitas, Olavo C. |
Author_xml | – sequence: 1 givenname: Reinaldo B. surname: Bestetti fullname: Bestetti, Reinaldo B. organization: Department of Pathology, Faculty of Medicine of Ribeirão Preto, University of São Paulo, Brazil – sequence: 2 givenname: Oswaldo T. surname: Castilho fullname: Castilho, Oswaldo T. organization: Heart Institute of the Santa Casa Hospital, Ribeirão Preto, S.P., Brazil – sequence: 3 givenname: Luiz A.C. surname: Teno fullname: Teno, Luiz A.C. organization: Heart Institute of the Santa Casa Hospital, Ribeirão Preto, S.P., Brazil – sequence: 4 givenname: Olavo C. surname: Freitas fullname: Freitas, Olavo C. organization: Heart Institute of the Santa Casa Hospital, Ribeirão Preto, S.P., Brazil |
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Cites_doi | 10.1016/0002-8703(90)90191-Y 10.1016/0014-4894(91)90016-P 10.1159/000150305 10.1016/0003-4975(91)90327-M 10.1159/000176409 10.1056/NEJM199308263290909 10.1093/eurheartj/14.12.1610 10.1097/00007890-199306000-00042 |
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References_xml | – volume: 329 start-page: 639 year: 1993 end-page: 644 ident: BIB13 article-title: American trypanosomiasis (Chagas' disease): a tropical disease now in the United States publication-title: New Engl J Med contributor: fullname: Kirchhoff – volume: 120 start-page: 233 year: 1990 end-page: 236 ident: BIB5 article-title: Microvascular changes as a cause of chronic cardiomyopathy in Chagas' disease publication-title: Am Heart J contributor: fullname: Rossi – volume: 55 start-page: 1431 year: 1993 end-page: 1434 ident: BIB10 article-title: Reactivation of experimental chronic publication-title: Transplantation contributor: fullname: Segura – volume: 25 start-page: 1329 year: 1993 end-page: 1330 ident: BIB2 article-title: Long-term follow-up after heart transplantation in Chagas' disease publication-title: Transplant Proc contributor: fullname: Uip – volume: 51 start-page: 649 year: 1991 end-page: 651 ident: BIB8 article-title: Dynamic cardiomyoplasty in chronic Chagas' heart disease: Clinicopathological data publication-title: Ann Thorac Surg contributor: fullname: Souza – volume: 73 start-page: 127 year: 1991 end-page: 136 ident: BIB11 article-title: publication-title: Exp Parasitol contributor: fullname: Sinagra – volume: 84 start-page: 261 year: 1994 end-page: 267 ident: BIB7 article-title: Noninvasive predictors of mortality for patients with Chagas' heart disease: a multivariate stepwise logistic regression study publication-title: Cardiology contributor: fullname: Oliveira – volume: 9 start-page: 587 year: 1990 end-page: 593 ident: BIB4 article-title: A working formulation for the standardization of nomenclature in the diagnosis of heart and lung rejection: heart rejection study group publication-title: J Heart Transplant contributor: fullname: Hammond – volume: 14 start-page: 1610 year: 1993 end-page: 1614 ident: BIB6 article-title: Clinical and morphological characteristics associated with sudden cardiac death in patients with Chagas' disease 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mortality for patients with Chagas' heart disease: a multivariate stepwise logistic regression study publication-title: Cardiology doi: 10.1159/000176409 contributor: fullname: Bestetti – volume: 6 start-page: 307 year: 1987 ident: 10.1016/1054-8807(94)90011-6_BIB1 article-title: Heart transplantation in patients with Chagas' disease cardiomyopathy publication-title: J Heart Transplant contributor: fullname: Stolf – volume: 329 start-page: 639 year: 1993 ident: 10.1016/1054-8807(94)90011-6_BIB13 article-title: American trypanosomiasis (Chagas' disease): a tropical disease now in the United States publication-title: New Engl J Med doi: 10.1056/NEJM199308263290909 contributor: fullname: Kirchhoff – volume: 14 start-page: 1610 year: 1993 ident: 10.1016/1054-8807(94)90011-6_BIB6 article-title: Clinical and morphological characteristics associated with sudden cardiac death in patients with Chagas' disease publication-title: Eur Heart J doi: 10.1093/eurheartj/14.12.1610 contributor: fullname: Bestetti – volume: 17 start-page: 221 year: 1985 ident: 10.1016/1054-8807(94)90011-6_BIB3 article-title: The use of cyclosporine, azathioprine and antithymocyte globulin with or without low dose steroids for immunosuppression of cardiac transplant patients contributor: fullname: Yacoub – volume: 55 start-page: 1431 year: 1993 ident: 10.1016/1054-8807(94)90011-6_BIB10 article-title: Reactivation of experimental chronic T. cruzi infection after immunosuppressive treatment by cyclosporine A and betametasone publication-title: Transplantation doi: 10.1097/00007890-199306000-00042 contributor: fullname: Sinagra |
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Trypanosoma cruzi myocardial infection reactivation after immunosuppressive therapy has led to precluding heart transplantation as a therapeutic... The risk of Trypanosoma cruzi myocardial infection reactivation after immunosuppressive therapy has led to precluding heart transplantation as a therapeutic... |
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Title | Absence of Trypanosoma cruzi myocardial infection reactivation in Chagas' heart transplant |
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