Cargando…

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...

Descripción completa

Detalles Bibliográficos
Autores principales: Nascimento, Bruno Ramos, Gomes, Thalles Oliveira, Borges, Júlio César, Athayde, Guilherme Rafael Sant'Anna, de Andrade, Sílvio Amadeu, Moreira, Maria da Consolação Vieira
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2013
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771468/
https://www.ncbi.nlm.nih.gov/pubmed/24066253
http://dx.doi.org/10.1155/2013/606481
_version_ 1782284206296006656
author Nascimento, Bruno Ramos
Gomes, Thalles Oliveira
Borges, Júlio César
Athayde, Guilherme Rafael Sant'Anna
de Andrade, Sílvio Amadeu
Moreira, Maria da Consolação Vieira
author_facet Nascimento, Bruno Ramos
Gomes, Thalles Oliveira
Borges, Júlio César
Athayde, Guilherme Rafael Sant'Anna
de Andrade, Sílvio Amadeu
Moreira, Maria da Consolação Vieira
author_sort Nascimento, Bruno Ramos
collection PubMed
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 Online
Article
Text
id pubmed-3771468
institution National Center for Biotechnology Information
language English
publishDate 2013
publisher Hindawi Publishing Corporation
record_format MEDLINE/PubMed
spelling pubmed-37714682013-09-24 Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy Nascimento, Bruno Ramos Gomes, Thalles Oliveira Borges, Júlio César Athayde, Guilherme Rafael Sant'Anna de Andrade, Sílvio Amadeu Moreira, Maria da Consolação Vieira Case Rep Transplant Case Report 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. Hindawi Publishing Corporation 2013 2013-08-27 /pmc/articles/PMC3771468/ /pubmed/24066253 http://dx.doi.org/10.1155/2013/606481 Text en Copyright © 2013 Bruno Ramos Nascimento et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Nascimento, Bruno Ramos
Gomes, Thalles Oliveira
Borges, Júlio César
Athayde, Guilherme Rafael Sant'Anna
de Andrade, Sílvio Amadeu
Moreira, Maria da Consolação Vieira
Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3771468/
https://www.ncbi.nlm.nih.gov/pubmed/24066253
http://dx.doi.org/10.1155/2013/606481
work_keys_str_mv AT nascimentobrunoramos primaryangioplastyforcardiacallograftvasculopathypresentingasstelevationacutemyocardialinfarctionduringendomyocardialbiopsy
AT gomesthallesoliveira primaryangioplastyforcardiacallograftvasculopathypresentingasstelevationacutemyocardialinfarctionduringendomyocardialbiopsy
AT borgesjuliocesar primaryangioplastyforcardiacallograftvasculopathypresentingasstelevationacutemyocardialinfarctionduringendomyocardialbiopsy
AT athaydeguilhermerafaelsantanna primaryangioplastyforcardiacallograftvasculopathypresentingasstelevationacutemyocardialinfarctionduringendomyocardialbiopsy
AT deandradesilvioamadeu primaryangioplastyforcardiacallograftvasculopathypresentingasstelevationacutemyocardialinfarctionduringendomyocardialbiopsy
AT moreiramariadaconsolacaovieira primaryangioplastyforcardiacallograftvasculopathypresentingasstelevationacutemyocardialinfarctionduringendomyocardialbiopsy