Angioplastia coronariana transluminal percutânea após transplante cardíaco ortotópico / Percutaneous Transluminal Coronary Angioplasty After Orthotopic Cardiac Transplantation
Arq. bras. cardiol
;
62(3): 177-179, mar. 1994. ilus
Article
Dans Portugais
| LILACS
| ID: lil-156256
RESUMO
We report the case of 22 year-old male who developed coronary artery disease two years after orthotopic cardiac transplantation, manifested as congestive heart failure NYHA functional class III. The left ventricular radioisotopic evaluation at rest revealed worsening of left ventricular ejection fraction from 50 per cent to 39per cent (normal value > or = 55 per cent) and septal hypokinesia. The hemodynamic and coronariographic study showed two subocclusive lesions at the mid portion and distal portion of the left descending coronary artery and the patient underwent PTCA of both lesions, successfully reducing them to 30 per cent. A new radionuclide and echocardiographic evaluation of left ventricular function at rest, showed marked improvement of global function no regional abnormalities, increasing the ejection fraction from 39 per cent to 45 per cent. The patient showed improvement of NYHA functional class, passing to functional class II and was discharged home. We conclude that PTCA could be performed in a successful manner in this patient
Texte intégral:
Disponible
Indice:
LILAS (Amériques)
Sujet Principal:
Complications postopératoires
/
Angioplastie coronaire par ballonnet
/
Transplantation cardiaque
/
Défaillance cardiaque
Type d'étude:
Etude d'étiologie
Limites du sujet:
Adulte
/
Humains
/
Mâle
langue:
Portugais
Texte intégral:
Arq. bras. cardiol
Thème du journal:
Cardiologie
Année:
1994
Type:
Article
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