Thromboaspiration during acute myocardial infarction in a heart transplant patient

Paola Colombo, Giuseppe Bruschi, Manuela Agozzino, Pedro Silva, Maria Frigerio, Ettore Vitali, Eloisa Arbustini, Silvio Klugmann

Research output: Contribution to journalArticlepeer-review

Abstract

Each year, an estimated 10% of heart transplant recipients develop coronary allograft vasculopathy, an aggressive form of coronary artery disease that limits survival after transplantation. The pathologic characteristics of coronary allograft vasculopathy are not uniform and both the clinical importance and pathophysiological significance of thrombosis and vasospasm in this setting are not completely understood. Mechanical reperfusion is a better alternative to systemic thrombolysis in patients with acute myocardial infarction and thrombus removal before standard percutaneous coronary intervention improves coronary epicardial flow. We report the case of a 38-year-old male admitted to the emergency room of our hospital with acute inferior myocardial infarction complicated by cardiogenic shock. He underwent heart transplant because of ischemic cardiomyopathy. Coronary angiography showed acute coronary thrombosis of the circumflex coronary artery. Percutaneous coronary intervention with thrombus extraction was successfully attempted. This case represents an unusual clinical presentation and treatment of cardiac allograft vasculopathy.

Original languageEnglish
Pages (from-to)293-295
Number of pages3
JournalJournal of Cardiovascular Medicine
Volume9
Issue number3
DOIs
Publication statusPublished - Mar 2008

Keywords

  • Acute myocardial infarction
  • Coronary percutaneous intervention
  • Heart transplantation

ASJC Scopus subject areas

  • Cardiology and Cardiovascular Medicine

Fingerprint Dive into the research topics of 'Thromboaspiration during acute myocardial infarction in a heart transplant patient'. Together they form a unique fingerprint.

Cite this