Coronary artery bypass two years after orthotopic heart transplantation: a case report.
Complete occlusion of the left anterior descending and right coronary arteries developed in a 58-year-old man 2 years after orthotopic heart transplantation. Because of his progressive shortness of breath, reversible myocardial ischemia, and decreasing ejection fraction, aortocoronary bypass was recommended. The operation was performed without complications, and his postoperative ejection fraction improved by more than 58%. In the past, when coronary artery disease developed in cardiac allografts, another transplant procedure was the only treatment option. Because of the limited donor hearts available today, new strategies are necessary for the treatment of cardiac allograft atherosclerosis.
Frazier
O H
OH
Section of Transplantation, Texas Heart Institute, Houston 77025-0345.
Vega
J D
JD
Duncan
J M
JM
Springer
A J
AJ
Burnett
C M
CM
Lonquist
J L
JL
Birovljev
S
S
Radovancevic
B
B
D001026:Coronary Artery Bypass; D003324:Coronary Artery Disease / Q000209:etiology / Q000601:surgery*; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D008875:Middle Aged; D013997:Time Factors
D007166:Immunosuppressive Agents