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Kainz, FM; Wallner, S; Uyanik-Uenal, K; Andreas, M; Zuckermann, A.
Transplanted stents: a case report
BMC CARDIOVASC DISOR. 2020; 20(1): 312
Doi: 10.1186/s12872-020-01597-9
Web of Science
PubMed
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- Leading authors Med Uni Graz
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Andreas Martin
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- Abstract:
- Background An optimal donor work-up to exclude preexisting conditions is recommended, but urgency and technical equipment in donor centers must be considered. We report a case of two coronary stents present in the donor heart and the related long-term outcome. Case presentation A 59-year-old European male patient suffering from dilated cardiomyopathy with severely reduced left ventricular function and presenting with NYHA III underwent cardiac transplantation in 2004. At the one-year follow-up, during routine cardiac catheterization, two stents were found, one in the right coronary artery and one in the circumflex artery, in the patient's transplanted heart. As no stent implantation was performed since transplantation, these were present prior to transplantation and had been transplanted without causing clinical signs. One of the stents showed in-stent restenosis, and the patient received an additional stent 7 years after transplantation. The other stent still showed a good result, and no further intervention has been required so far. The patient is currently in good clinical condition. Conclusion This is the first case report of favorable long-term stented coronary arteries prior to transplantation. This case highlights the importance of the donor work-up and meticulous palpation of the coronary arteries during donor evaluation.
- Find related publications in this database (Keywords)
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Transplantation
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Stent
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Cardiac allograft vasculopathy
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Donor heart
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Coronary artery disease