title: [Reversible graft dysfunction after cardiac transplantation].
abstract: The authors report 3 cases of major graft dysfunction after cardiac transplantation which recovered completely with biventricular mechanical assistance in 4 to 8 days. All three cases were primary biventricular graft failures in patients with normal preoperative pulmonary resistances. These early dysfunctions (with no signs of myocardial infarction on electro- or echocardiography and in the absence of abnormal increased peri-operative enzyme levels) associated with total functional recovery conforming to the definition of the phenomenon of myocardial stunning. These results argue in favour of aggressive management of primary graft dysfunction.
authors.affiliation: Service de chirurgie cardio-thoracique A, Hôpital cardiologique, Lyon.
authors.forename: J F
authors.initials: JF
authors.lastname: Obadia
authors.forename: P
authors.initials: P
authors.lastname: Boissonnat
authors.forename: O
authors.initials: O
authors.lastname: Bastien
authors.forename: C
authors.initials: C
authors.lastname: Flamens
authors.forename: Y
authors.initials: Y
authors.lastname: Martelloni
authors.forename: C
authors.initials: C
authors.lastname: Diab
authors.forename: M
authors.initials: M
authors.lastname: Elfarra
authors.forename: J F
authors.initials: JF
authors.lastname: Chassignolle
authors.forename: G
authors.initials: G
authors.lastname: Dureau
mesh_terms: D017548:Echocardiography, Transesophageal; D004562:Electrocardiography; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D017682:Myocardial Stunning; D011183:Postoperative Complications; D018754:Ventricular Dysfunction / Q000175:diagnosis / Q000209:etiology / Q000503:physiopathology*