Spontaneous Coronary Artery Dissection in a Transplanted Heart.

移植心脏中的自发性冠状动脉夹层。

• 发表时间: Nov 2022 2
• 来源期刊: JACC Case Rep
• DOI: 10.1016/j.jaccas.2022.06.016
• PMID: 36388711
• 文章类型: Case Reports
• 作者列表: Sbitli T,Bamousa B,Alburaiki J,Alhussein M,Almasood A

关键词: ACS, acute coronary syndrome; EMB, endomyocardial biopsy; FMD, fibromuscular dysplasia; LAD, left anterior descending; LHC, left-sided heart catheterization; PCI, percutaneous coronary intervention; RHC, right-sided heart catheterization; SCAD, spontaneous coronary artery dissection; acute coronary syndrome; cardiac transplant; dissection; myocardial infarction

Abstract

We report the case of a 37-year-old man who presented with shortness of breath 1 year post heart transplantation. He was receiving tacrolimus, methylprednisolone, and mycophenolate. An angiogram showed spontaneous coronary artery dissection involving the left anterior descending artery. Percutaneous coronary intervention was performed successfully, with stent placement and return of flow. (Level of Difficulty: Advanced.).

摘要

我们报告了一名37岁男子在心脏移植后1年出现呼吸急促的病例。他在接受他克莫司，甲基强的松龙,还有霉酚酸酯.血管造影显示自发性冠状动脉夹层累及左前降支。成功进行了经皮冠状动脉介入治疗，支架放置和回流。（难度等级：高级。).