Pulmonary Artery Stenosis After an Orthotopic Heart Transplantation: A Case Report With Cardiac Imaging Findings and a Literature Review

Pritish Aher; Nini Saad; Aman Aher; Sarv Priya; Alessandra Albini

doi:10.7759/cureus.57416

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Pulmonary Artery Stenosis After an Orthotopic Heart Transplantation: A Case Report With Cardiac Imaging Findings and a Literature Review

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Pulmonary Artery Stenosis After an Orthotopic Heart Transplantation: A Case Report With Cardiac Imaging Findings and a Literature Review

Pritish Aher, Nini Saad, Aman Aher, Sarv Priya and Alessandra Albini

Curēus (Palo Alto, CA), Vol.16(4), e57416

04/01/2024

DOI: 10.7759/cureus.57416

PMCID: PMC11062755

PMID: 38694640

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Abstract

Pulmonary artery stenosis is a rare complication of heart transplantation. It is typically a congenital condition or can be secondary to rheumatic fever, systemic vasculitis like Behcet’s disease, or Takayasu’s arteritis. It can also occur as a rarity of a delayed complication post-heart transplant. In this report, we describe the imaging findings of pulmonary artery stenosis in a patient who underwent an orthotopic heart transplant more than 10 years prior. Dynamic cardiac magnetic resonance imaging (MRI), phase contrast imaging, and MR angiography in the management of pulmonary artery stenosis helped in heart and pulmonary circulation. Functional evaluation can be achieved with current multichannel transmit-receive coils. Cardiac gated pre- and dynamic contrast-enhanced MR was performed with phase-contrast imaging for further evaluation confirming the diagnosis of pulmonary artery stenosis.

Cardiology

Radiology

Transplantation

Details

Title: Subtitle: Pulmonary Artery Stenosis After an Orthotopic Heart Transplantation: A Case Report With Cardiac Imaging Findings and a Literature Review
Creators: Pritish Aher - University of Iowa
Nini Saad - Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA Nutrition and Exercise Physiology, University of Missouri, Columbia, USA Radiology, University of Iowa Hospitals and Clinics, Iowa City, USA
Aman Aher - Radiology, University of Miami Miller School of Medicine, Jackson Memorial Hospital, Miami, USA Nutrition and Exercise Physiology, University of Missouri, Columbia, USA Radiology, University of Iowa Hospitals and Clinics, Iowa City, USA
Sarv Priya - University of Iowa
Alessandra Albini - University of Missouri
Resource Type: Journal article
Publication Details: Curēus (Palo Alto, CA), Vol.16(4), e57416
DOI: 10.7759/cureus.57416
PMID: 38694640
PMCID: PMC11062755
NLM abbreviation: Cureus
ISSN: 2168-8184
eISSN: 2168-8184
Publisher: Cureus
Language: English
Date published: 04/01/2024
Academic Unit: Radiology
Record Identifier: 9984623023002771

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