title: Re-stenosis of a sirolimus-coated stent in a heart transplant recipient with allograft vasculopathy.
abstract: We report the first case of in-stent re-stenosis in a sirolimus-coated stent in a heart transplant recipient with allograft vasculopathy. A 54-year-old male transplant recipient with new lesions in the left anterior descending artery detected during a routine surveillance catheterization was treated with two sirolimus-coated stents. Three months later he presented with dyspnea on exertion, and a repeat left heart catheterization demonstrated a focal area of in-stent stenosis in the proximal stent, which was treated with a cutting balloon.
authors.affiliation: Division of Cardiovascular Disease, Department of Internal Medicine, University of Alabama at Birmingham, Birmingham, Alabama, USA. raed.aqel@med.va.gov
authors.forename: Raed
authors.initials: R
authors.lastname: Aqel
authors.forename: Ritesh
authors.initials: R
authors.lastname: Gupta
authors.forename: Jose A
authors.initials: JA
authors.lastname: Tallaj
authors.forename: Gilbert J
authors.initials: GJ
authors.lastname: Zoghbi
mesh_terms: D023903:Coronary Restenosis / Q000517:prevention & control; D003331:Coronary Vessels / Q000473:pathology*; D006084:Graft Rejection; D016027:Heart Transplantation; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage*; D008297:Male; D008875:Middle Aged; D020123:Sirolimus / Q000008:administration & dosage*; D015607:Stents
chemical_list: D007166:Immunosuppressive Agents; D020123:Sirolimus