How should I treat an unusual referral for heart transplantation?

EuroIntervention. 2010 Feb;5(7):861-5. doi: 10.4244/eijv5i7a144.

Abstract

Background: A 55 years old man was referred for cardiac transplantation because of intractable angina and fatigue.

Investigation: Physical examination, laboratory test, echocardiography, exercise ECG, MRI and coronary arteriography.

Diagnosis: Multiple coronary artery fistulae.

Management: Beta-blockers, angiotensin-converting enzyme inhibitor ICD.

Publication types

  • Case Reports

MeSH terms

  • Adrenergic beta-Antagonists / therapeutic use*
  • Angina Pectoris / etiology
  • Angina Pectoris / therapy
  • Angiotensin-Converting Enzyme Inhibitors / therapeutic use*
  • Coronary Angiography
  • Coronary Artery Disease / complications
  • Coronary Artery Disease / diagnosis
  • Coronary Artery Disease / physiopathology
  • Coronary Artery Disease / therapy*
  • Defibrillators, Implantable
  • Echocardiography, Doppler, Color
  • Electric Countershock* / instrumentation
  • Electrocardiography
  • Exercise Test
  • Exercise Tolerance
  • Fatigue / etiology
  • Fatigue / therapy
  • Heart Transplantation*
  • Humans
  • Magnetic Resonance Imaging
  • Male
  • Middle Aged
  • Physical Examination
  • Referral and Consultation
  • Treatment Outcome
  • Vascular Fistula / complications
  • Vascular Fistula / diagnosis
  • Vascular Fistula / physiopathology
  • Vascular Fistula / therapy*
  • Ventricular Function, Left

Substances

  • Adrenergic beta-Antagonists
  • Angiotensin-Converting Enzyme Inhibitors