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Web-Based Tutorial for
Assessment of Endomyocardial Biopsies

ISHLT Pathology Council Communications Liaison
Professor of Pathology, Microbiology and Immunology
Vanderbilt University Medical Center
Nashville, Tennessee, USA

The Society for Cardiovascular Pathology (SCVP) and the Association for European Cardiovascular Pathology (AECVP) have developed an image-rich web-based tutorial for the assessment of cellular rejection on endomyocardial biopsies in cardiac transplantation. links imageThis effort is being led by Marc Halushka, MD, PhD (Johns Hopkins University) and will showcase the ISHLT criteria for rejection as well as address other findings that might be encountered in these biopsies.

The tutorial will be designed for surgical pathologists who are responsible for interpretation of endomyocardial biopsies in their general practice and it will include grading criteria, helpful tips when assessing biopsies at low and high magnification, findings that are not related to rejection (artifacts, mimickers of rejection), considerations in interpreting pediatric biopsies, and unusual findings. Short narratives will accompany high-quality images, and quiz cases will be used for individual assessment.

Contributors to this project are cardiovascular pathologists with expertise in the interpretation of endomyocardial biopsies and who recognize not only the need for this educational resource for our surgical pathology colleagues, but also as a resource for the membership of the ISHLT who manage cardiac transplant recipients. This web tutorial can be viewed through the SCVP website at

Disclosure Statement: The author has no conflicts of interest to disclose.