Myocardial bridging in the era of a drug epidemic: a case report addressing the need to revisit donor organ assessment.

ABSTRACT:

Background

Myocardial bridging (MB), though typically a benign finding, may occasionally lead to syncope, myocardial infarction, arrhythmia, or sudden death. Surgical denervation of transplanted hearts complicates the management of such incidentally detected post-transplant coronary anomalies due to the lack of classic ischaemic symptoms.

Case summary

A middle-aged female underwent an uncomplicated cardiac transplantation from a healthy male donor in his early 20s who had suffered a cardiac arrest while using cocaine. Given the young donor age, a pre-transplant coronary angiogram (CAG) was deferred. However, 6-week post-transplant, routine CAG, and intravascular ultrasound revealed an extensive MB spanning a significant portion of the left anterior descending coronary artery

SUBMITTER: Dahiya G 

PROVIDER: S-EPMC7026599 | biostudies-literature | 2019 Dec

REPOSITORIES: biostudies-literature