Document Detail

Acute myocardial infarction immediately after heart transplantation.
MedLine Citation:
PMID:  8312308     Owner:  NLM     Status:  MEDLINE    
Myocardial infarction is one of the rarer events causing acute graft failure during the postoperative period after transplantation and is usually caused by preexisting coronary artery disease of the donor heart. We discuss the case of a 56-year-old man in whom cardiogenic shock developed after heart transplantation, which was refractory to all medical treatment. He was put on emergency code and underwent retransplantation 30 hours later. Pathologic examination of the explanted donor heart showed massive recent inferior and posterior wall infarction, with normal coronary arteries; the right coronary artery was dominant and completely occluded by an embolus of fatty material surrounded by fibrin, which we suggest could have originated from the suture line of the left atrium.
A Lipski; G Sahar; Y De Bruyne; M Antoine; J L Le Clerc
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Journal of heart and lung transplantation : the official publication of the International Society for Heart Transplantation     Volume:  12     ISSN:  1053-2498     ISO Abbreviation:  J. Heart Lung Transplant.     Publication Date:    1993 Nov-Dec
Date Detail:
Created Date:  1994-03-23     Completed Date:  1994-03-23     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  9102703     Medline TA:  J Heart Lung Transplant     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  1065-6     Citation Subset:  IM    
Department of Cardiac Surgery, Erasme Hospital, Bruxelles, Belgium.
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MeSH Terms
Heart Transplantation / adverse effects*
Middle Aged
Myocardial Infarction / etiology*,  pathology
Myocardium / pathology
Shock, Cardiogenic / etiology
Time Factors

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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