Abstract

Background It is unclear if children after heart transplantation (HTX) are at risk for developing increased myocardial fibrosis. Diffuse myocardial fibrosis can be estimated by myocardial longitudinal relaxation (T1) times. Methods Twenty cardiovascular magnetic resonance (CMR) studies in 17 patients after HTX (mean age 13.2 years, range 1.2 17.4 years, 9 female) were analysed retrospectively and compared to CMR studies in nine healthy controls

Highlights

  • From 17th Annual SCMR Scientific Sessions New Orleans, LA, USA. 16-19 January 2014. It is unclear if children after heart transplantation (HTX) are at risk for developing increased myocardial fibrosis

  • T1 measurements were performed at a single mid-ventricular short axis slice orientation before and > 10 minutes after the application of 0.2 mmol/kg gadopentetate dimeglumine (Gd) in the interventricular septum (IVS), LV lateral wall and the complete LV myocardium (Image)

  • Pre-contrast T1 times before the application of Gd were significantly higher in HTX patients compared to controls (LV lateral wall 977 ± 40 msec. versus 923 ± 12 msec., p < 0.001; IVS 1008 ± 32 msec. versus 974 ± 21 msec., p < 0.005; complete LV myocardium 992 ± 34 msec. versus 951 ± 16 msec., p < 0.005), whereas the reduced post-contrast T1 times in the HTX patients showed a trend towards being shorter than in controls but failed to reach statistical significance

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Summary

Introduction

It is unclear if children after heart transplantation (HTX) are at risk for developing increased myocardial fibrosis. Diffuse myocardial fibrosis in children after heart transplantation Background It is unclear if children after heart transplantation (HTX) are at risk for developing increased myocardial fibrosis. Diffuse myocardial fibrosis can be estimated by myocardial longitudinal relaxation (T1) times.

Results
Conclusion
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