Percutaneous coronary intervention for coronary allograft vasculopathy with drug-eluting stent in Indian subcontinent: Issues in diagnosis and management.
Acute coronary syndrome
coronary allograft vasculopathy
drug-eluting stent
heart transplantation
pediatric cardiology
stent angioplasty
Journal
Annals of pediatric cardiology
ISSN: 0974-2069
Titre abrégé: Ann Pediatr Cardiol
Pays: India
ID NLM: 101495459
Informations de publication
Date de publication:
Historique:
received:
14
05
2019
revised:
24
10
2019
accepted:
17
03
2020
entrez:
1
9
2020
pubmed:
31
8
2020
medline:
31
8
2020
Statut:
ppublish
Résumé
Coronary allograft vasculopathy fails to give a warning anginal pain due to denervation and often presents with acute coronary syndrome, ventricular dysfunction, or sudden cardiac death. Early diagnosis in a pediatric patient is difficult as it involves invasive coronary angiography or advanced imaging such as intravascular ultrasound or optical coherence tomography. A 12-year-old boy developed acute coronary syndrome, elevated troponins, and right bundle branch block, 5 years after cardiac transplantation and was treated with culprit-vessel angioplasty with a drug-eluting stent. Advanced imaging showed the involvement of nonculprit vessels too. In a detailed literature search, we failed to identify a similar clinical presentation and management in the subcontinent, hence our interest in publishing this report for educational value. Issues in diagnosis, management, prognosis, and prevention are discussed.
Identifiants
pubmed: 32863660
doi: 10.4103/apc.APC_69_19
pii: APC-13-234
pmc: PMC7437615
doi:
Types de publication
Case Reports
Langues
eng
Pagination
234-237Informations de copyright
Copyright: © 2020 Annals of Pediatric Cardiology.
Déclaration de conflit d'intérêts
There are no conflicts of interest.
Références
J Heart Lung Transplant. 2005 Jun;24(6):645-51
pubmed: 15949722
Circ Res. 2006 Oct 13;99(8):801-15
pubmed: 17038650
World J Transplant. 2014 Dec 24;4(4):276-93
pubmed: 25540736
Am J Transplant. 2016 Jan;16(1):301-9
pubmed: 26274617
J Heart Lung Transplant. 2005 Nov;24(11):1745-50
pubmed: 16297775
Catheter Cardiovasc Interv. 2012 Oct 1;80(4):533-8
pubmed: 21953766
Congenit Heart Dis. 2012 Jul-Aug;7(4):312-23
pubmed: 22176627
J Am Coll Cardiol. 1995 Jul;26(1):120-8
pubmed: 7797740
Eur Heart J. 2013 Sep;34(33):2610-7
pubmed: 23801824
Pediatr Transplant. 2013 Aug;17(5):436-40
pubmed: 23714284