Document Detail

Cardiac transplantation for spontaneous coronary artery dissection.
MedLine Citation:
PMID:  23049079     Owner:  NLM     Status:  MEDLINE    
We report a 49-year old female who presented with ST elevation myocardial infarction, in whom thrombolysis and coronary angioplasty failed to perfuse the myocardium. She was unsuitable for emergency coronary artery bypass grafting surgery due to the interval elapsed between the myocardial infarction, thrombolysis and large infracted myocardium. Ventricular-assisted device support for a bridge to recovery or transplantation is a widely accepted treatment modality; however, in this case, it was unadvisable due to the extent of the infarcted myocardium and the risk of suturing outflow ports into the infracted myocardium. The patient's condition was stabilized with cardiac inotropic support, intra-aortic balloon counter pulsation and extracorporeal membrane oxygenation as a last resort until a heart became available for transplantation. The patient received successful orthotopic heart transplantation 4 days after her initial presentation and her postoperative recovery was uneventful.
Mohamad Bashir; Hanif Mustafa; Harjot Singh; Robert Bonser
Related Documents :
13678919 - Frequency and clinical significance of ischemic preconditioning during percutaneous cor...
24530339 - Cardiac biomarkers in heart failure.
23568589 - High-sensitivity cardiac troponin t levels and secondary events in outpatients with cor...
23810239 - Diffuse st-elevation following j-wave presentation as an uncommon electrocardiogram pat...
24706089 - Cardiac contractility modulation: first experience in heart failure patients with reduc...
23804829 - Risks of extracorporeal membrane oxygenation in patients with coronary artery anomalies.
11246539 - Activation products of the haemostatic system in coronary, cerebrovascular and peripher...
23963959 - Myocardial perfusion imaging with cardiac computed tomography: state of the art.
10430759 - Angiogenesis gene therapy: phase i assessment of direct intramyocardial administration ...
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2012-10-09
Journal Detail:
Title:  Interactive cardiovascular and thoracic surgery     Volume:  16     ISSN:  1569-9285     ISO Abbreviation:  Interact Cardiovasc Thorac Surg     Publication Date:  2013 Jan 
Date Detail:
Created Date:  2012-12-18     Completed Date:  2013-05-31     Revised Date:  2014-01-09    
Medline Journal Info:
Nlm Unique ID:  101158399     Medline TA:  Interact Cardiovasc Thorac Surg     Country:  England    
Other Details:
Languages:  eng     Pagination:  91-2     Citation Subset:  IM    
Export Citation:
APA/MLA Format     Download EndNote     Download BibTex
MeSH Terms
Aneurysm, Dissecting / complications,  radiography,  surgery*
Cardiotonic Agents / therapeutic use
Coronary Aneurysm / complications,  radiography,  surgery*
Coronary Angiography
Extracorporeal Membrane Oxygenation
Heart Transplantation*
Intra-Aortic Balloon Pumping
Middle Aged
Myocardial Infarction / etiology
Treatment Outcome
Reg. No./Substance:
0/Cardiotonic Agents

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

Previous Document:  Endoscopic vein harvest of the lesser saphenous vein in the supine position: a unique approach to an...
Next Document:  Tracheal reconstruction with a composite graft: fascial flap-wrapped allogenic aorta with external c...