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KMID : 0361120010150010114
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Korean Journal of Transplantation
2001 Volume.15 No. 1 p.114 ~ p.118
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Acute Vascular Rejection 11 Months after Heart Transplantation
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김활웅/Hwal Woong Kim
서정욱/김우호/김용일/이현순/Jeong Wook Seo/Woo Ho Kim/Yong Il Kim/Hyun Soon Lee
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Abstract
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Vascular rejection injures the vascular endothelium in cardiac allografts in the absence of significant intramyocardial lymphocytic infiltration. When compared with cellular rejection, acute vascular rejection occurs earlier after transplantation, and is associated with high frequency of allograft loss. We describe a case of acute vascular rejection that occurred 11 months after heart transplantation. Graft failure was associated with active vasculitis in the coronary arteries and pericardial arteries, and extensive coagulation necrosis of myocardium. The extreme rarity of late onset of acute vascular rejection in a cardiac allograft prompted us to write this report.
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