Case of successful stenting of the coronary artery in a patient with a transplanted heart in acute coronary syndrome
https://doi.org/10.15825/1995-1191-2019-1-96-100
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.
About the Authors
A. A. Shilov
Municipal budgetary healthcare institution «Kemerovo Cardiology Dispensary»
Russian Federation
Russian Federation
A. V. Bezdenezhnykh
Federal State Budgetary Institution «Research Institute for Complex Issues of Cardiovascular Disease», Kemerovo
Russian Federation
Russian Federation
V. I. Ganyukov
Federal State Budgetary Institution «Research Institute for Complex Issues of Cardiovascular Disease», Kemerovo
Russian Federation
Russian Federation
R. S. Tarasov
Federal State Budgetary Institution «Research Institute for Complex Issues of Cardiovascular Disease», Kemerovo
Russian Federation
Russian Federation
E. G. Uchasova
Federal State Budgetary Institution «Research Institute for Complex Issues of Cardiovascular Disease», Kemerovo
Russian Federation
Russian Federation
6, Sosnovy Bvld, Kemerovo, 650002.
Теl. (3842) 64-05-53.
O. L. Barbarash
Federal State Budgetary Institution «Research Institute for Complex Issues of Cardiovascular Disease», Kemerovo
Russian Federation
Russian Federation
L. S. Barbarash
Federal State Budgetary Institution «Research Institute for Complex Issues of Cardiovascular Disease», Kemerovo
Russian Federation
Russian Federation
References
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.
6. Heart transplantation. Manual for doctors. Ed. S.V. Gauthier, V.N. Poptsova, A.O. Shevchenko. M.–Tver: Triada, 2014: 136.
7. Avedissian MG, Bush HS, Leachman DR, Fighali S, Frazier OH. Percutaneus transluminal coronary angioplasty after cardiac transplantation. Texas Heart Institute J. 1989; 16: 288–291.
8. Scheidt W, Oberfuhr P, Reichart B, Steinbeck G. The role of PTCA in the management focal critical lesions in transplant coronary artery disease. Transplat Proc. 1995; 3: 1936–1938.
9. Radonnet M, Tron C, Konig R. Coronary angioplasty and stenting in cardiac allograft vasculopathy following heart transplantation. Transpl Procedings. 2000; 32: 463–465.
10. Aqel RA, Wells BJ, Hage FG, Tallaj J, Benza R, Pamboukian S et al. Re-stenosis after drug-eluting stents in cardiac allograft vasculopathy. J Heart Lung Transplant. 2008; 27: 610–615.
11. Reddy PR, Gulati A, Steen L, Sinacore J, Leya F, Heroux A. Outcomes of bare metal versus drug-eluting stents in allograft vasculopathy. J Heart Lung Transplant. 2008; 27: 1222–1228.
12. Essays on clinical transplantology. Ed. S.V. Gauthier. M.–Tver: Triada, 2009: 360.
13. Houser SL, Kuwaki K, Knosalla C, Dor FJ, Gollackner B, Cheng J et al. Thrombotic microangiopathy and graft arteriopathy in pig hearts following transplantation into baboons. Xenotransplantation. 2004; 11 (5): 416– 425.
Review
For citations:
Shilov A.A., Bezdenezhnykh A.V., Ganyukov V.I., Tarasov R.S., Uchasova E.G., Barbarash O.L., Barbarash L.S. Case of successful stenting of the coronary artery in a patient with a transplanted heart in acute coronary syndrome. Russian Journal of Transplantology and Artificial Organs. 2019;21(1):96-100. (In Russ.) https://doi.org/10.15825/1995-1191-2019-1-96-100
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