title: [Painless anterior acute myocardial infarction in a transplanted heart].
abstract: Cardiac allograft vasculopathy is the major determinant of long-term survival in patients after heart transplantation. Clinical presentations are congestive heart failure, ventricular arrhythmias and sudden cardiac death. Acute coronary syndrome is a rare presentation of cardiac allograft vasculopathy due to myocardial denervation. We present the case of a 31-year-old patient, who had undergone heart transplantation 6 months earlier and who developed a painless anterior myocardial infarction revealed by syncope. He was successfully treated by percutaneous coronary intervention with drug eluting stent implantation.
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France. Electronic address: raphael.poyet@yahoo.fr.
authors.forename: R
authors.initials: R
authors.lastname: Poyet
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.
authors.forename: E
authors.initials: E
authors.lastname: Capilla
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.
authors.forename: A V
authors.initials: AV
authors.lastname: Tortat
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.
authors.forename: F X
authors.initials: FX
authors.lastname: Brocq
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.
authors.forename: F
authors.initials: F
authors.lastname: Pons
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.
authors.forename: S
authors.initials: S
authors.lastname: Kerebel
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.
authors.forename: C
authors.initials: C
authors.lastname: Jego
authors.affiliation: Service de cardiologie, hôpital d'instruction des armées Sainte-Anne, boulevard Sainte-Anne, 83000 Toulon, France.
authors.forename: G R
authors.initials: GR
authors.lastname: Cellarier
mesh_terms: D000328:Adult; D056988:Anterior Wall Myocardial Infarction / Q000175:diagnosis / Q000628:therapy; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D011183:Postoperative Complications / Q000175:diagnosis / Q000628:therapy
keywords: Acute myocardial infarction; Angioplastie; Cardiac allograft vasculopathy; Coronarographie; Coronaropathie du greffon; Coronary angiogram; Heart transplantation; Infarctus du myocarde; PCI; Transplantation cardiaque