Talk:Heart transplant pathology

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Biopsy - mild acellular

Microscopic

The sections show endomyocardium that is of sufficient size to evaluate for acute cellular rejection activity and has multiple myocardial scars. There are focal, sparse lymphocytic infiltrates adjacent to the scar tissue, which is consistent with old biopsy sites. Most blood vessels appear histomorphologically normal; however, there is focal, mild vascular swelling with perivascular edema and lymphocyte margination. There is no evidence of post transplant lymphoproliferative disease.

Final diagnosis

Heart allograft, endomyocardial biopsies x 7 - ISHLT Grade 1R, acute cellular rejection, focal, mild.