Document Detail

Early graft failure after heart transplantation due to coronary artery embolization with myocardial tissue.
MedLine Citation:
PMID:  8911848     Owner:  NLM     Status:  MEDLINE    
Myocardial infarction due to myocardial tissue embolism of the right coronary is a rare cause of early graft failure. We report one case with such a complication, in a 44-year-old man who was transplanted with a graft from a 32-year-old male donor. Prolonged refractory cardiogenic shock developed after orthotopic heart transplantation. A right coronary artery bypass graft was performed and the patient was supported with a biventricular assist device for 69 h. Despite that, no improvement of the graft contractility was observed and the patient could not recover from shock. Pathologic examination showed inferior and septal acute infarction. An embolus of myocardial tissue was completely occluding the first portion of the right coronary artery. The tissue probably came from suture lines of the left atrium.
A Miralles; T Serrano; J M Calbet; E Castells
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  European journal of cardio-thoracic surgery : official journal of the European Association for Cardio-thoracic Surgery     Volume:  10     ISSN:  1010-7940     ISO Abbreviation:  Eur J Cardiothorac Surg     Publication Date:  1996  
Date Detail:
Created Date:  1997-03-18     Completed Date:  1997-03-18     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  8804069     Medline TA:  Eur J Cardiothorac Surg     Country:  NETHERLANDS    
Other Details:
Languages:  eng     Pagination:  916-8     Citation Subset:  IM    
Department of Cardiac Surgery, Ciutat Sanitaria i Universitaria de Bellvitge, L Hospitalet de Llobregat, Barcelona, Spain.
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MeSH Terms
Coronary Thrombosis / pathology*
Embolism / pathology*
Fatal Outcome
Heart Transplantation / pathology*
Myocardial Infarction / pathology*
Myocardium / pathology
Suture Techniques

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