Affiliation:
1. Municipal budgetary healthcare institution «Kemerovo Cardiology Dispensary»
2. Federal State Budgetary Institution «Research Institute for Complex Issues of Cardiovascular Disease», Kemerovo
Abstract
This observation describes a rare case of development of acute myocardial infarction after orthotopic heart transplantation. The diagnosis of acute coronary syndrome was exposed on the basis of increased cardiac specific enzymes with nonspecific changes in the ECG and an erased clinical picture. When performing coronary angiography, acute thrombotic occlusion of the right coronary artery was revealed. The procedure for coronary angioplasty was complicated by the development of the «no-reflow» syndrome, which was subsequently successfully resolved. The final stage was the stenting of the infarct-conditioned artery with the implantation of two drug-eluting «Resolute Integrity» stents. Later the patient was discharged from the hospital in a satisfactory condition.
Publisher
V.I. Shimakov Federal Research Center of Transplantology and Artificial Organs
Subject
Transplantation,Immunology and Allergy
Reference13 articles.
1. Taylor DO, Stehlik J, Edwards LB, Aurora P, Christie JD, Dobbels F et al. Registry of the International Society for Heart and Lung Transplantation: twenty-sixth official adult heart transplant report 2009. J Heart Lung Transplant. 2009; 28: 1007–1022.
2. Billigham ME. Cardiac transplant atherosclerosis. Transplant Proc. 1987; 19: 5: 19–25.
3. Shumakov VI, Kazakov EN, Khubutia MSh et al. Orthotopic heart transplantation: results of 50 operations. Thoracic and cardiovascular surgery. 1993; 1: 3–7.
4. Schmauss D, Weis M.Cardiaca allograft vasculopathy. Recent developments. Circulation. 2008; 117 (16): 2131–2141.
5. Calé R, Rebocho MJ, Aguiar C, Almeida M, Queiroz E, Melo J et al. Diagnóstico, prevenção e tratamento da doença vascular do aloenxerto. Rev Port Cardiol. 2012; 31 (11): 721–730.