Primary Angioplasty for Cardiac Allograft Vasculopathy Presenting as ST-Elevation Acute Myocardial Infarction during Endomyocardial Biopsy.
Cardiac allograft vasculopathy is still a major issue, with significative mortality in heart transplant patients, and the best therapeutic options are not yet established. The progressively higher survival rates after transplantation have made it a major concern. This is a case report about a patient who underwent cardiac transplantation due to chagasic cardiomiopathy. During an endomyocardial biopsy more than 2 years after the transplant, the patient arrested in ventricular fibrillation, with ST-elevation in anterior leads after defibrillation. The angiography showed total occlusion of proximal left anterior descending artery, promptly treated with primary angioplasty, with excellent angiographic and clinical results.
Serviço de Hemodinâmica do Hospital das Clínicas da Universidade Federal de Minas Gerais, 30130-100 Belo Horizonte, MG, Brazil ; Serviço de Hemodinâmica do Hospital Universitário São José-INCOR Minas, 30140-073 Belo Horizonte, MG, Brazil.
Bruno Ramos
BR
Nascimento
Thalles Oliveira
TO
Gomes
Júlio César
JC
Borges
Guilherme Rafael Sant'anna
GR
Athayde
Sílvio Amadeu
SA
de Andrade
Maria da Consolação Vieira
Mda C
Moreira