Abstract
Cardiac allograft vasculopathy (CAV) is an accelerated form of coronary artery disease affecting both intramyocardial and epicardial coronary arteries and is observed in patients during long-term survival after cardiac transplantation. We report a case of CAV complicated with silent transmural myocardial infarction and massive left ventricular thrombus formation associated with silent pericarditis and with ischemic and non-ischemic scar tissue, as detected by cardiac magnetic resonance imaging (CMRI). The authors suggest CMRI as an additional technique along with echocardiography during follow-up of heart transplant recipients. CMRI may contribute to the early identification of areas of myocardial wall abnormalities suggestive of CAV, thus guiding diagnosis and prompt percutaneous treatment.
MeSH terms
-
Aged
-
Cicatrix / complications*
-
Cicatrix / diagnosis*
-
Cicatrix / therapy
-
Comorbidity
-
Coronary Artery Disease / complications*
-
Coronary Artery Disease / diagnosis*
-
Coronary Artery Disease / therapy
-
Early Diagnosis
-
Echocardiography*
-
Heart Ventricles
-
Humans
-
Image Processing, Computer-Assisted*
-
Magnetic Resonance Imaging, Cine*
-
Male
-
Myocardial Infarction / complications*
-
Myocardial Infarction / diagnosis*
-
Myocardial Infarction / therapy
-
Myocardial Ischemia / diagnosis
-
Myocardial Ischemia / etiology
-
Myocardial Ischemia / therapy
-
Pericarditis / diagnosis
-
Pericarditis / etiology
-
Pericarditis / therapy
-
Postoperative Complications / diagnosis*
-
Postoperative Complications / etiology
-
Postoperative Complications / therapy
-
Secondary Prevention
-
Survivors
-
Thrombosis / diagnosis
-
Thrombosis / etiology