Book review
https://doi.org/10.20471/acc.2024.63.s1.2
A Covered Coronary Stent for Acute Perforation after a Percutaneous Coronary Intervention due to Cardiac Allograft Vasculopathy
Mario Udovičić
; Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb; School of Medicine of the University of Zagreb, Croatia
*
Hrvoje Falak
; Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb
Miro Raguž
; Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb
Ilko Vuksanović
; Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb
Ante Lisičić
; Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb
Šime Manola
; Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb; School of Medicine of the University of Zagreb, Croatia
Irzal Hadžibegović
; Department of Cardiovascular Diseases, University Hospital Dubrava, Zagreb; Faculty of Dental Medicine and Healthcare, Josip Juraj Strossmayer University, Osijek, Croatia
* Corresponding author.
Abstract
Cardiac allograft vasculopathy (CAV) is diffuse concentric narrowing caused by
intimal fibriproliferation of the coronary arteries in patients after heart transplantation (HTx). It affects
almost one third of patients over the period of 5 years, and more than 50% after 10 years following HTx
and remains a common cause of late graft failure and mortality. Percutaneous coronary intervention (PCI)
can be attempted for focal disease preferably with drug-eluting stents, but the only definite solution is
re-transplantation reserved for selected patients with severe CAV. We report a case of a 33- year-old patient
with a newly diagnosed CAV, in which a PCI of circumflex coronary artery was attempted, resulting
in a coronary perforation treated by the placement of a covered single stent.
Keywords
Heart transplantation; Coronary artery disease; Cardiac allograft vasculopathy; Percutaneous coronary intervention
Hrčak ID:
320930
URI
Publication date:
1.3.2024.
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