Insensitivity of right ventricular endomyocardial biopsy in the diagnosis of myocarditis

Autor: Chow, Lawrence H., Radio, Stanley J., Sears, Thomas D., Mcmanus, Bruce M.
Zdroj: Journal of the American College of Cardiology; October 1989, Vol. 14 Issue: 4 p915-920, 6p
Abstrakt: The clinical suspicion of myocarditis relies strongly on endomyocardial biopsy for confirmation, yet the sensitivity of the procedure in this setting has not been clearly defined. Biopsy sensitivity was determined in 14 hearts with histologically proved myocarditis studied ex vivo, including 12 autopsy hearts and 2 native hearts explanted at cardiac transplantation. With use of the Stanford and Cordis bioptomes, endoymocardial biopsy was performed near the apex on the right side of the ventricular septum (four to five samples/bioptome per patient) and repeated in the nonapical portion of the septum from the moderator band to the subpulmonary infundibulum (additional three to five samples/bioptome per patient).
Databáze: Supplemental Index