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Papers of the Week

2022 Dec 27

Cardiovasc Revasc Med

Long-term surveillance of coronary artery dissection in an orthotopic heart transplant recipient.


Ahmed T, Lodhi S H, Al-Abdouh A, Ahmed T, Bhopalwala H, Kolodziej AR, Misumida N, Messerli AW
Cardiovasc Revasc Med. 2022 Dec 27.
PMID: 36581553.


We describe a case of an orthotopic heart transplant recipient who presented with chest pain related to blunt chest trauma 3 weeks post-transplantation. Electrocardiogram showed anterior ST-segment elevation. Coronary angiography revealed a dissection of the mid-distal left anterior descending artery with preserved antegrade flow. Conservative management of the coronary artery dissection was pursued. While the patient had a favorable long-term clinical outcome, the coronary dissection persisted on 1- and 2-year follow-up coronary angiography.