“…Heterotopic CT is not usually indicated because chagasic patients have neither pulmonary hypertension nor hyper-resistance; in addition, it is associated with a higher number of complications 257 . Orthotopic CT can be used with bicaval anastomosis and prophylactic tricuspid annuloplasty 258,259 .…”
Section: Cardiac and Cellular Transplantation And Other Surgical Thermentioning
“…Heterotopic CT is not usually indicated because chagasic patients have neither pulmonary hypertension nor hyper-resistance; in addition, it is associated with a higher number of complications 257 . Orthotopic CT can be used with bicaval anastomosis and prophylactic tricuspid annuloplasty 258,259 .…”
Section: Cardiac and Cellular Transplantation And Other Surgical Thermentioning
“…In our institution endomyocardial biopsy and Gallium-scintigraphy are the main methods to rejection control and Chagas' disease reactivation after heart transplantation, and research too [31][32][33][34][35][36][37][38][39] . The two-dimensional echocardiography has been used in last 25 years to guide endomyocardial biopsy examination with emphasis in critical patients with cardiomyopathy or after heart transplantation; to help in the visualization of the intracardiac tumors' position and in patients that cannot go at catheterization room 40,41 .…”
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