Year : 2020  |  Volume : 13  |  Issue : 3  |  Page : 234--237

Percutaneous coronary intervention for coronary allograft vasculopathy with drug-eluting stent in Indian subcontinent: Issues in diagnosis and management


Mohammed Shakawat Alam, Arvind Sahadev Singh, Sreeja Pavithran, Vijayakumar Subban, Ajit Mullasari, Kothandam Sivakumar 
 Department of Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India

Correspondence Address:
Kothandam Sivakumar
Senior Consultant Cardiologist, Madras Medical Mission, Chennai - 600 037, Tamil Nadu
India

Coronary allograft vasculopathy fails to give a warning anginal pain due to denervation and often presents with acute coronary syndrome, ventricular dysfunction, or sudden cardiac death. Early diagnosis in a pediatric patient is difficult as it involves invasive coronary angiography or advanced imaging such as intravascular ultrasound or optical coherence tomography. A 12-year-old boy developed acute coronary syndrome, elevated troponins, and right bundle branch block, 5 years after cardiac transplantation and was treated with culprit-vessel angioplasty with a drug-eluting stent. Advanced imaging showed the involvement of nonculprit vessels too. In a detailed literature search, we failed to identify a similar clinical presentation and management in the subcontinent, hence our interest in publishing this report for educational value. Issues in diagnosis, management, prognosis, and prevention are discussed.


How to cite this article:
Alam MS, Singh AS, Pavithran S, Subban V, Mullasari A, Sivakumar K. Percutaneous coronary intervention for coronary allograft vasculopathy with drug-eluting stent in Indian subcontinent: Issues in diagnosis and management.Ann Pediatr Card 2020;13:234-237


How to cite this URL:
Alam MS, Singh AS, Pavithran S, Subban V, Mullasari A, Sivakumar K. Percutaneous coronary intervention for coronary allograft vasculopathy with drug-eluting stent in Indian subcontinent: Issues in diagnosis and management. Ann Pediatr Card [serial online] 2020 [cited 2022 Jun 28 ];13:234-237
Available from: https://www.annalspc.com/article.asp?issn=0974-2069;year=2020;volume=13;issue=3;spage=234;epage=237;aulast=Alam;type=0