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ST-elevation acute coronary syndrome in a patient after heart transplant.

Browarek A, Dębski A, Tyczyński P, Piotrowska M, Zieliński T, Sobieszczańska-Małek M, Karcz M, Witkowski A - Postepy Kardiol Interwencyjnej (2014)

Bottom Line: Heart transplant patients with acute coronary syndrome (ACS) usually do not present with typical symptoms.ST elevation (STE) is a very rare presentation of ACS in HTx recipients.We report a case of a female HTx patient, in whom STE-ACS was diagnosed and was subsequently treated with primary percutaneous coronary intervention.

View Article: PubMed Central - PubMed

Affiliation: Institute of Cardiology, Warsaw, Poland.

ABSTRACT
The accelerated process of vasculopathy in heart transplant (HTx) recipients is a well-known factor of increased morbidity and mortality among this subset of patients. Heart transplant patients with acute coronary syndrome (ACS) usually do not present with typical symptoms. ST elevation (STE) is a very rare presentation of ACS in HTx recipients. We report a case of a female HTx patient, in whom STE-ACS was diagnosed and was subsequently treated with primary percutaneous coronary intervention.

No MeSH data available.


Related in: MedlinePlus

Occluded proximal segment of the left anterior descending coronary artery in 2013
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Figure 0002: Occluded proximal segment of the left anterior descending coronary artery in 2013

Mentions: Emergent angiography revealed left anterior descending coronary artery (LAD) occlusion in its proximal segment and 70–80% stenosis in the proximal right coronary artery (RCA) (Figure 2). A loading dose of prasugrel was administered and immediate percutaneous coronary intervention (PCI) of the LAD was performed. After opening the occluded LAD segment and predilatation, a 2.5 mm × 28 mm everolimus-eluting stent was implanted at 14 atm. A good angiographic result with TIMI 3 flow was achieved (Figure 3).


ST-elevation acute coronary syndrome in a patient after heart transplant.

Browarek A, Dębski A, Tyczyński P, Piotrowska M, Zieliński T, Sobieszczańska-Małek M, Karcz M, Witkowski A - Postepy Kardiol Interwencyjnej (2014)

Occluded proximal segment of the left anterior descending coronary artery in 2013
© Copyright Policy - open-access
Related In: Results  -  Collection

License
Show All Figures
getmorefigures.php?uid=PMC4007303&req=5

Figure 0002: Occluded proximal segment of the left anterior descending coronary artery in 2013
Mentions: Emergent angiography revealed left anterior descending coronary artery (LAD) occlusion in its proximal segment and 70–80% stenosis in the proximal right coronary artery (RCA) (Figure 2). A loading dose of prasugrel was administered and immediate percutaneous coronary intervention (PCI) of the LAD was performed. After opening the occluded LAD segment and predilatation, a 2.5 mm × 28 mm everolimus-eluting stent was implanted at 14 atm. A good angiographic result with TIMI 3 flow was achieved (Figure 3).

Bottom Line: Heart transplant patients with acute coronary syndrome (ACS) usually do not present with typical symptoms.ST elevation (STE) is a very rare presentation of ACS in HTx recipients.We report a case of a female HTx patient, in whom STE-ACS was diagnosed and was subsequently treated with primary percutaneous coronary intervention.

View Article: PubMed Central - PubMed

Affiliation: Institute of Cardiology, Warsaw, Poland.

ABSTRACT
The accelerated process of vasculopathy in heart transplant (HTx) recipients is a well-known factor of increased morbidity and mortality among this subset of patients. Heart transplant patients with acute coronary syndrome (ACS) usually do not present with typical symptoms. ST elevation (STE) is a very rare presentation of ACS in HTx recipients. We report a case of a female HTx patient, in whom STE-ACS was diagnosed and was subsequently treated with primary percutaneous coronary intervention.

No MeSH data available.


Related in: MedlinePlus