Rali Aniket S, Sami Farhad, Sauer Andrew, Shah Zubair
Department of Cardiovascular Medicine, The University of Kansas Health System, USA.
Department of Internal Medicine, The University of Kansas Health System, USA.
Case Rep Cardiol. 2020 Mar 1;2020:7914737. doi: 10.1155/2020/7914737. eCollection 2020.
Endomyocardial biopsy (EMB) continues to remain the gold standard for surveillance of rejection post orthotropic heart transplantation (OHT). It can be performed under fluoroscopic or echocardiographic guidance. In the hands of an experienced operator, the complications of EMB are uncommon with <1% chance of any serious acute complications. Most common complications of EMB include access site-related complications, namely, venous thrombosis, carotid cannulation, hematoma, air embolism, and pneumothorax. We present a case of a rare complication of EMB in a patient with OHT causing a coronary sinus to right coronary artery (RCA) fistula.
心内膜心肌活检（EMB）仍然是原位心脏移植（OHT）后排斥反应监测的金标准。它可以在荧光镜或超声心动图引导下进行。在经验丰富的操作者手中，EMB的并发症并不常见，任何严重急性并发症的发生几率<1%。EMB最常见的并发症包括与穿刺部位相关的并发症，即静脉血栓形成、颈动脉插管、血肿、空气栓塞和气胸。我们报告一例OHT患者发生EMB罕见并发症导致冠状窦至右冠状动脉（RCA）瘘的病例。
