Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy
Cardiac allograft vasculopathy is still a major issue, with significative mortality in heart transplant patients, and the best therapeutic options are not yet established. The progressively higher survival rates after transplantation have made it a major concern. This is a case report about a patien...
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Language: | English |
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Wiley
2013-01-01
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Series: | Case Reports in Transplantation |
Online Access: | http://dx.doi.org/10.1155/2013/606481 |
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author | Bruno Ramos Nascimento Thalles Oliveira Gomes Júlio César Borges Guilherme Rafael Sant’Anna Athayde Sílvio Amadeu de Andrade Maria da Consolação Vieira Moreira |
author_facet | Bruno Ramos Nascimento Thalles Oliveira Gomes Júlio César Borges Guilherme Rafael Sant’Anna Athayde Sílvio Amadeu de Andrade Maria da Consolação Vieira Moreira |
author_sort | Bruno Ramos Nascimento |
collection | DOAJ |
description | Cardiac allograft vasculopathy is still a major issue, with significative mortality in heart transplant patients, and the best therapeutic options are not yet established. The progressively higher survival rates after transplantation have made it a major concern. This is a case report about a patient who underwent cardiac transplantation due to chagasic cardiomiopathy. During an endomyocardial biopsy more than 2 years after the transplant, the patient arrested in ventricular fibrillation, with ST-elevation in anterior leads after defibrillation. The angiography showed total occlusion of proximal left anterior descending artery, promptly treated with primary angioplasty, with excellent angiographic and clinical results. |
format | Article |
id | doaj-art-e603d516f34e49fcacc7d8ac4cd0890d |
institution | Kabale University |
issn | 2090-6943 2090-6951 |
language | English |
publishDate | 2013-01-01 |
publisher | Wiley |
record_format | Article |
series | Case Reports in Transplantation |
spelling | doaj-art-e603d516f34e49fcacc7d8ac4cd0890d2025-02-03T07:25:13ZengWileyCase Reports in Transplantation2090-69432090-69512013-01-01201310.1155/2013/606481606481Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial BiopsyBruno Ramos Nascimento0Thalles Oliveira Gomes1Júlio César Borges2Guilherme Rafael Sant’Anna Athayde3Sílvio Amadeu de Andrade4Maria da Consolação Vieira Moreira5Serviço de Hemodinâmica do Hospital das Clínicas da Universidade Federal de Minas Gerais, 30130-100 Belo Horizonte, MG, BrazilServiço de Hemodinâmica do Hospital das Clínicas da Universidade Federal de Minas Gerais, 30130-100 Belo Horizonte, MG, BrazilServiço de Hemodinâmica do Hospital das Clínicas da Universidade Federal de Minas Gerais, 30130-100 Belo Horizonte, MG, BrazilServiço de Hemodinâmica do Hospital das Clínicas da Universidade Federal de Minas Gerais, 30130-100 Belo Horizonte, MG, BrazilServiço de Transplante Cardíaco do Hospital das Clínicas da Universidade Federal de Minas Gerais, 30130-100 Belo Horizonte, MG, BrazilServiço de Transplante Cardíaco do Hospital das Clínicas da Universidade Federal de Minas Gerais, 30130-100 Belo Horizonte, MG, BrazilCardiac allograft vasculopathy is still a major issue, with significative mortality in heart transplant patients, and the best therapeutic options are not yet established. The progressively higher survival rates after transplantation have made it a major concern. This is a case report about a patient who underwent cardiac transplantation due to chagasic cardiomiopathy. During an endomyocardial biopsy more than 2 years after the transplant, the patient arrested in ventricular fibrillation, with ST-elevation in anterior leads after defibrillation. The angiography showed total occlusion of proximal left anterior descending artery, promptly treated with primary angioplasty, with excellent angiographic and clinical results.http://dx.doi.org/10.1155/2013/606481 |
spellingShingle | Bruno Ramos Nascimento Thalles Oliveira Gomes Júlio César Borges Guilherme Rafael Sant’Anna Athayde Sílvio Amadeu de Andrade Maria da Consolação Vieira Moreira Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy Case Reports in Transplantation |
title | Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy |
title_full | Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy |
title_fullStr | Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy |
title_full_unstemmed | Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy |
title_short | Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy |
title_sort | primary angioplasty for cardiac allograft vasculopathy presenting as st elevation acute myocardial infarction during endomyocardial biopsy |
url | http://dx.doi.org/10.1155/2013/606481 |
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