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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Main Authors: Bruno Ramos Nascimento, Thalles Oliveira Gomes, Júlio César Borges, Guilherme Rafael Sant’Anna Athayde, Sílvio Amadeu de Andrade, Maria da Consolação Vieira Moreira
Format: Article
Language:English
Published: Wiley 2013-01-01
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.
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institution Kabale University
issn 2090-6943
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publishDate 2013-01-01
publisher Wiley
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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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