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
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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    
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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

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