Spontaneous Coronary Artery Dissection in a Transplanted Heart
Taher Sbitli1, Bdoor Bamousa1, Jehad Alburaiki2
1Department of Medicine, Alfaisal University, Riyadh, Saudi Arabia.
JACC. Case Reports
|November 17, 2022
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.).
Keywords:
ACS, acute coronary syndromeEMB, endomyocardial biopsyFMD, fibromuscular dysplasiaLAD, left anterior descendingLHC, left-sided heart catheterizationPCI, percutaneous coronary interventionRHC, right-sided heart catheterizationSCAD, spontaneous coronary artery dissectionacute coronary syndromecardiac transplantdissectionmyocardial infarction
