Myocardial infarction after endomyocardial biopsy in a heart transplant patient.
In a heart transplant patient who had undergone several endomyocardial biopsies, ultrasound examination revealed severe left ventricular dysfunction after a stroke. Coronary angiography showed a distal left anterior descending artery fistula to the right ventricle. Left ventricular angiogram showed apical dyskinesia. The electrocardiogram and angiographic changes were thought to be due to a myocardial infarction secondary to a postendomyocardial biopsy hematoma, which should be added to the list of possible complications involved in endomyocardial biopsy.
Drobinski
Gérard
G
Department of Cardiology, Pitié-Salpétrière University Hospital, Paris, France. gerard.drobinski@psl.ap-hop-paris.fr
Dorent
Richard
R
Ghossoub
Jean-Jacques
JJ
Collet
Jean-Philippe
JP
Choussat
Rémy
R
Montalescot
Gilles
G
Thomas
Daniel
D
Gandjbackch
Iradj
I
D001164:Arteriovenous Fistula / Q000150:complications* / Q000209:etiology*; D001706:Biopsy / Q000009:adverse effects*; D004699:Endocardium / Q000473:pathology; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009203:Myocardial Infarction / Q000209:etiology*; D009206:Myocardium / Q000473:pathology