Volume 40, Issue 7 pp. 451-454
Case Report

Two-dimensional speckle tracking echocardiography of acute cardiac transplant rejection following pregnancy

Matteo Lisi MD

Corresponding Author

Matteo Lisi MD

Department of Cardiovascular Diseases, University of Siena, Siena, Italy

Department of Cardiovascular Diseases, University of Siena, Siena, ItalySearch for more papers by this author
Matteo Cameli MD

Matteo Cameli MD

Department of Cardiovascular Diseases, University of Siena, Siena, Italy

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Damiana Tacchini MD

Damiana Tacchini MD

Department of Pathology, University of Siena, Siena, Italy

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Piercarlo Ballo MD

Piercarlo Ballo MD

Cardiology Operative Unit, S. Maria Annunziata Hospital, Florence, Italy

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Massimo Maccherini MD

Massimo Maccherini MD

Cardiac Surgery, University of Siena, Siena, Italy

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Sergio Mondillo MD

Sergio Mondillo MD

Department of Cardiovascular Diseases, University of Siena, Siena, Italy

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First published: 30 January 2012
Citations: 4

Abstract

A 44-year-old woman, who had undergone orthotopic cardiac transplantation in 1999, presented acute allograft rejection 4 months after childbirth. Analysis of myocardial deformation by speckle tracking echocardiography showed, in contrast with traditional markers of systolic function, a strong reduction of left ventricular strain, which recovered, together with rejection, under pharmacological treatment. This case documents the potential advantages of speckle tracking echocardiography in the noninvasive management of transplant recipients. © 2012 Wiley Periodicals, Inc. J Clin Ultrasound 40:451–454, 2012

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