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Case Reports
. 2022 Aug 3;4(15):977-981.
doi: 10.1016/j.jaccas.2022.05.018.

Spontaneous Coronary Artery Dissection in an Orthotopic Heart Transplant Recipient

Josephine Warren  1 , Caitlin Cheshire  1 , Sarah Gutman  1   2 , James Hare  1 , Andrew Taylor  1 , Hitesh Patel  1 , Peter Bergin  1 , Adam Zimmet  3 , Silvana Marasco  2   3 , David Kaye  1   2 , Angeline Leet  1
Affiliations
Case Reports

Spontaneous Coronary Artery Dissection in an Orthotopic Heart Transplant Recipient

Josephine Warren et al. JACC Case Rep. .

Abstract

We present the case of acute myocardial infarction secondary to spontaneous coronary artery dissection in a patient 2 weeks post orthotopic heart transplantation. (Level of Difficulty: Advanced.).

Keywords: FMD, fibromuscular dysplasia; ICH, intracranial hemorrhage; LGE, late gadolinium enhancement; LV, left ventricular; SCAD, spontaneous coronary artery dissection; TTE, transthoracic echocardiogram; acute coronary syndrome; cardiac transplant; dissection; myocardial infarction; systolic heart failure.

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Conflict of interest statement

The authors have reported that they have no relationships relevant to the contents of this paper to disclose.

Figures

None
Graphical abstract
Figure 1
Figure 1
Donor Digital Subtraction Angiography of the Left Vertebral Artery Donor digital subtraction angiography demonstrating irregularities in the vertebral arteries and a small pseudoaneurysm in V2 of the left vertebral artery.
Figure 2
Figure 2
Electrocardiograms (A) Electrocardiogram day 13 post-transplant demonstrating anterior Q waves (a) and diffuse T-wave inversion (b). (B) Electrocardiogram day 8 post-transplant showing ST-segment elevation in V5 and V6(arrows).
Figure 3
Figure 3
Cardiac Magnetic Resonance Imaging Demonstrating Wall Thinning, Hypokinesis, and Transmural Late Gadolinium Enhancement of the Apical and Anteroseptal Segments of the Left Ventricle Cardiac magnetic resonance imaging demonstrating wall thinning, hypokinesis, and transmural late gadolinium (Gd) enhancement (arrows) of the apical and anteroseptal segments of the left ventricle. Ch = chamber.
Figure 4
Figure 4
Coronary Angiograms (A) Coronary angiogram demonstrating a sub-totally occluded mid left anterior descending coronary artery (LAD). (B) Coronary angiogram demonstrating spontaneous coronary artery dissection in the distal posterior descending coronary artery (PDA).
See this image and copyright information in PMC

References

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