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Transplanted stents: a case report.

Frieda-Maria Kainz1, Stephanie Wallner1, Keziban Uyanik-Uenal1

  • 1Department of Cardiac Surgery, Medical University Vienna, Waehringer Guertel 18-20, 1090, Vienna, Austria.

BMC Cardiovascular Disorders
|July 2, 2020
PubMed
Summary
This summary is machine-generated.

This case report details a heart transplant recipient who had two coronary artery stents unknowingly transplanted. Both stents remained functional long-term, highlighting the importance of thorough donor evaluation.

Keywords:
Cardiac allograft vasculopathyCoronary artery diseaseDonor heartStentTransplantation

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Area of Science:

  • Cardiology
  • Transplantation Medicine
  • Vascular Surgery

Background:

  • Cardiac transplantation requires rigorous donor evaluation to exclude pre-existing conditions.
  • Donor center urgency and equipment availability can impact the thoroughness of pre-transplant assessments.
  • The presence of coronary artery stents in donor hearts is an uncommon scenario.

Observation:

  • A 59-year-old male received a heart transplant for dilated cardiomyopathy.
  • Routine cardiac catheterization one year post-transplant revealed two previously undetected coronary artery stents.
  • One stent developed in-stent restenosis 7 years post-transplant, requiring intervention; the other remained patent.

Findings:

  • This is the first reported case of successfully transplanted coronary arteries with stents.
  • The transplanted stents were asymptomatic prior to transplantation.
  • Favorable long-term outcomes were observed despite the presence of coronary stents.

Implications:

  • Highlights the critical need for meticulous donor coronary artery examination during the evaluation process.
  • Suggests that well-functioning coronary stents in donors may not preclude successful transplantation.
  • Emphasizes the importance of balancing donor evaluation protocols with logistical constraints in transplantation centers.