title: Myocardial infarction after endomyocardial biopsy in a heart transplant patient.
abstract: 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.
authors.affiliation: Department of Cardiology, Pitié-Salpétrière University Hospital, Paris, France. gerard.drobinski@psl.ap-hop-paris.fr
authors.forename: Gérard
authors.initials: G
authors.lastname: Drobinski
authors.forename: Richard
authors.initials: R
authors.lastname: Dorent
authors.forename: Jean-Jacques
authors.initials: JJ
authors.lastname: Ghossoub
authors.forename: Jean-Philippe
authors.initials: JP
authors.lastname: Collet
authors.forename: Rémy
authors.initials: R
authors.lastname: Choussat
authors.forename: Gilles
authors.initials: G
authors.lastname: Montalescot
authors.forename: Daniel
authors.initials: D
authors.lastname: Thomas
authors.forename: Iradj
authors.initials: I
authors.lastname: Gandjbackch
mesh_terms: 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