Disección coronaria espontánea en paciente trasplantada de corazón

Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome that predominantly affects women without cardiovascular risk factors. In transplant patients, spontaneous coronary artery dissection is an extremely rare condition, having been described in only three patients, in...

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Autores principales: Rossel,Víctor, San-Martín,Daniel, Lim,Jongsung, Ramírez,Ricardo, Gajardo,Francesca, Sandoval,Jorge
Lenguaje:Spanish / Castilian
Publicado: Sociedad Médica de Santiago 2021
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Acceso en línea:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300469
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spelling oai:scielo:S0034-988720210003004692021-10-14Disección coronaria espontánea en paciente trasplantada de corazónRossel,VíctorSan-Martín,DanielLim,JongsungRamírez,RicardoGajardo,FrancescaSandoval,Jorge Coronary artery dissection, Spontaneous Transplantation, Heart Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome that predominantly affects women without cardiovascular risk factors. In transplant patients, spontaneous coronary artery dissection is an extremely rare condition, having been described in only three patients, in whom vascular damage secondary to the use of anticalcineurinics is postulated as a probable mechanism. We report a spontaneous coronary dissection in a female who received a heart transplant at 34 years of age. The diagnosis was made in a follow-up coronary angiography three years after transplantation, supplemented with optical coherence tomography. A percutaneous coronary revascularization of the involved artery was performed, with good immediate results and at one year of follow-up.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.3 20212021-03-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300469es10.4067/s0034-98872021000300469
institution Scielo Chile
collection Scielo Chile
language Spanish / Castilian
topic Coronary artery dissection, Spontaneous
Transplantation, Heart
spellingShingle Coronary artery dissection, Spontaneous
Transplantation, Heart
Rossel,Víctor
San-Martín,Daniel
Lim,Jongsung
Ramírez,Ricardo
Gajardo,Francesca
Sandoval,Jorge
Disección coronaria espontánea en paciente trasplantada de corazón
description Spontaneous coronary artery dissection is an uncommon cause of acute coronary syndrome that predominantly affects women without cardiovascular risk factors. In transplant patients, spontaneous coronary artery dissection is an extremely rare condition, having been described in only three patients, in whom vascular damage secondary to the use of anticalcineurinics is postulated as a probable mechanism. We report a spontaneous coronary dissection in a female who received a heart transplant at 34 years of age. The diagnosis was made in a follow-up coronary angiography three years after transplantation, supplemented with optical coherence tomography. A percutaneous coronary revascularization of the involved artery was performed, with good immediate results and at one year of follow-up.
author Rossel,Víctor
San-Martín,Daniel
Lim,Jongsung
Ramírez,Ricardo
Gajardo,Francesca
Sandoval,Jorge
author_facet Rossel,Víctor
San-Martín,Daniel
Lim,Jongsung
Ramírez,Ricardo
Gajardo,Francesca
Sandoval,Jorge
author_sort Rossel,Víctor
title Disección coronaria espontánea en paciente trasplantada de corazón
title_short Disección coronaria espontánea en paciente trasplantada de corazón
title_full Disección coronaria espontánea en paciente trasplantada de corazón
title_fullStr Disección coronaria espontánea en paciente trasplantada de corazón
title_full_unstemmed Disección coronaria espontánea en paciente trasplantada de corazón
title_sort disección coronaria espontánea en paciente trasplantada de corazón
publisher Sociedad Médica de Santiago
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000300469
work_keys_str_mv AT rosselvictor diseccioncoronariaespontaneaenpacientetrasplantadadecorazon
AT sanmartindaniel diseccioncoronariaespontaneaenpacientetrasplantadadecorazon
AT limjongsung diseccioncoronariaespontaneaenpacientetrasplantadadecorazon
AT ramirezricardo diseccioncoronariaespontaneaenpacientetrasplantadadecorazon
AT gajardofrancesca diseccioncoronariaespontaneaenpacientetrasplantadadecorazon
AT sandovaljorge diseccioncoronariaespontaneaenpacientetrasplantadadecorazon
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