|
1
|
Cattaneo MM, Moccetti M, Cattaneo M, Sürder D, Suter T, Martinelli M, Roost E, Schmidli J, Banz Y, Schneiders C, Pedrazzini G, Corti R, Räber L, Crea F, Mohacsi P, Gallino A. Intractable coronary fibromuscular dysplasia leading to end-stage heart failure and fatal heart transplantation. ESC Heart Fail 2020; 7:714-720. [PMID: 31994838 PMCID: PMC7160508 DOI: 10.1002/ehf2.12626] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/11/2019] [Revised: 12/22/2019] [Accepted: 01/03/2020] [Indexed: 11/26/2022] Open
Abstract
Coronary fibromuscular dysplasia is uncommon, and even rarer its unstable and recurrent course. We present the unique case of a 52‐year‐old woman who underwent in total 12 coronary angiographies and three percutaneous coronary intervention within 24 months because of repetitive acute coronary syndromes due to refractory spasm, dissection, restenosis all leading to end‐stage heart failure, and heart transplantation. The patient died 12 days after the heart transplantation complicated by intraoperative acute thrombotic occlusion of left anterior descending artery of the graft despite normal pretransplant coronary angiography. Autopsy of the recipient heart confirmed coronary fibromuscular dysplasia with massive intimal hyperplasia and restenosis.
Collapse
Affiliation(s)
- Magdalena Maria Cattaneo
- Cardiovascular Research, Hospital of San Giovanni, Bellinzona, 6500, Switzerland.,Internal Medicine, Hospital of San Giovanni, Bellinzona, 6500, Switzerland
| | | | - Mattia Cattaneo
- Cardiovascular Research, Hospital of San Giovanni, Bellinzona, 6500, Switzerland.,Cardiocentro Ticino, Lugano, 6900, Switzerland
| | | | - Thomas Suter
- Cardiology, University Hospital Inselspital, Bern, 3010, Switzerland
| | | | - Eva Roost
- Cardiovascular Surgery, University Hospital Inselspital, Bern, 3010, Switzerland
| | - Jürg Schmidli
- Cardiovascular Surgery, University Hospital Inselspital, Bern, 3010, Switzerland
| | - Yara Banz
- Pathology, University of Bern, Bern, 3008, Switzerland
| | | | | | | | - Lorenz Räber
- Cardiology, University Hospital Inselspital, Bern, 3010, Switzerland
| | - Filippo Crea
- Cardiology, Catholic University, Rome, 00168, Italy
| | - Paul Mohacsi
- Cardiology, University Hospital Inselspital, Bern, 3010, Switzerland
| | - Augusto Gallino
- Cardiovascular Research, Hospital of San Giovanni, Bellinzona, 6500, Switzerland.,University of Zurich, Zurich, 8006, Switzerland
| |
Collapse
|