CIRCULATION JOURNAL, cilt.73, sa.11, ss.2166-2168, 2009 (SCI-Expanded)
Allograft cotonary artery disease (CAD) is the main limiting factor of the long-term survival in cardiac transplant recipients. It is present in approximately 50%, of patients at 5 years post-transplant. Allograft CAD might result in congestive heart failure, ventricular arrhythmias and Sudden cardiac death. Acute coronary syndrome is a rare presentation of allograft CAD. because symptoms are usually atypical or absent as a result of cardiac denervation. However. it should he reminded that reinnervation of the transplanted heart might occur. and angina pectoris could he felt as a sign of in acute coronary syndrome. We present a 27-year-old female cardiac transplant patient with an acute myocardial infarction. Who was successfully treated with percutaneous transluminal coronary angioplasty. (Circ J 2009; 73: 2166-2168)