Key result
Coronary angioplasty and stenting with two drug-eluting stents successfully treated acute thrombotic occlusion of the right coronary artery in a heart transplant patient.
Why the study?
Acute myocardial infarction after orthotopic heart transplantation is rare and can present with non-specific ECG changes and an atypical clinical picture.
Case Report (n=1)
Coronary angioplasty with drug-eluting stents can be successfully performed for acute myocardial infarction in orthotopic heart transplant recipients, even when complicated by no-reflow syndrome.
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.
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Шилов et al. (2019) conducted a case report in Acute myocardial infarction after orthotopic heart transplantation (n=1). Coronary angioplasty and stenting with two drug-eluting Resolute Integrity stents was evaluated on Resolution of acute thrombotic occlusion and clinical outcome. Coronary angioplasty and stenting with two drug-eluting stents successfully treated acute thrombotic occlusion of the right coronary artery in a heart transplant patient.
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