Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy.

Autor: Nascimento, Bruno Ramos, Gomes, Thalles Oliveira, Borges, Júlio César, Sant'Anna Athayde, Guilherme Rafael, de Andrade, Sílvio Amadeu, da Consolação Vieira Moreira, Maria
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Zdroj: Case Reports in Transplantation; 2013, p1-3, 3p
Abstrakt: Cardiac allograft vasculopathy is still amajor issue, with significativemortality 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. [ABSTRACT FROM AUTHOR]
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