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Endothelial Dysfunction and Cytomegalovirus Replication in Pediatric Heart Transplantation
Author(s) -
Jacob Simmonds,
Matthew J. Fenton,
Catherine Dewar,
Elizabeth A. Ellins,
Clare Storry,
David Cubitt,
John Deanfield,
Nigel Klein,
Julian Halcox,
Michael Burch
Publication year - 2008
Publication title -
circulation
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 7.795
H-Index - 607
eISSN - 1524-4539
pISSN - 0009-7322
DOI - 10.1161/circulationaha.107.718874
Subject(s) - medicine , transplantation , viremia , human cytomegalovirus , endothelial dysfunction , cardiology , brachial artery , cytomegalovirus , heart transplantation , immunology , viral disease , blood pressure , herpesviridae , human immunodeficiency virus (hiv) , virus
Cardiac allograft vasculopathy is the major limiting factor to the long-term success of pediatric heart transplantation. Cytomegalovirus (CMV) has been shown to be a significant risk factor for the development of cardiac allograft vasculopathy. Recent work has demonstrated CMV DNA in leukocytes in the absence of direct allograft infection, suggesting that vascular changes may not be limited to the allograft.

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