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Allograft Coronary Artery Thrombosis: A Case Report of Early Cardiac Allograft Left Ventricular Myocardial Infarction

Authors:

Sergio A. Torres ,

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, US
About Sergio A.
M.D.
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Omar Cheema,

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, US
About Omar
M.D.
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Dipan J. Shah,

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, US
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M.D.
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Guillermo Torre-Amione,

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, US
About Guillermo
M.D., Ph.D.
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Jerry D. Estep

Methodist DeBakey Heart & Vascular Center, The Methodist Hospital, Houston, Texas, US
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M.D.
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Abstract

Introduction

Cardiac allograft dysfunction is a major cause of morbidity and mortality in the early post-transplantation period. This is a critical condition that requires prompt diagnosis and management. We present the case of a 57-year-old man with ischemic cardiomyopathy who underwent cardiac transplantation and developed a rare case of coronary artery thrombosis in the setting of heparin-induced thrombocytopenia and thrombosis syndrome (HITTS) within the first 2 postoperative weeks. Transmural myocardial infarction (MI) was initially noted on cardiac magnetic resonance (CMR) imaging as regional left ventricular wall motion abnormalities and transmural hyperenhancement after gadolinium administration, prompting further evaluation of the coronary circulation with angiography.

How to Cite: 1. Torres SA, Cheema O, Shah DJ, Torre-Amione G, Estep JD. Allograft Coronary Artery Thrombosis: A Case Report of Early Cardiac Allograft Left Ventricular Myocardial Infarction. Methodist DeBakey Cardiovascular Journal. 2012;8(1):46-48. DOI: http://doi.org/10.14797/mdcj-8-1-46
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Published on 01 Jan 2012.
Peer Reviewed

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