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Nefedova G.A.

Sklifosovsky Research Institute for Emergency Care of Moscow Healthcare Department, Moscow, Russia

Bulava G.V.

GBUZ "NII skoroĭ pomoshchi im. N.V. Sklifosovskogo" Departamenta zdravookhraneniia Moskvy

Galankina I.E.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

Cytomegalovirus infection and pneumocystis pneumonia after coronary stenting and cardiac transplantation for acute myocardial infarction

Authors:

Nefedova G.A., Bulava G.V., Galankina I.E.

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Journal: Russian Journal of Archive of Pathology. 2013;75(1): 40‑45

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To cite this article:

Nefedova GA, Bulava GV, Galankina IE. Cytomegalovirus infection and pneumocystis pneumonia after coronary stenting and cardiac transplantation for acute myocardial infarction. Russian Journal of Archive of Pathology. 2013;75(1):40‑45. (In Russ.)

Подписка 2025 (Russian Journal of Archive of Pathology)
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The paper presents the clinical and anatomic data of combination treatment for acute myocardial infarction, by stenting the infarct-related artery, followed by cardiac transplantation, which have provided the optimal result of surgery and caused no severe rejection reaction. The immediate causes of death have been infectious complications (cytomegalovirus infection and pneumocystis pneumonia) developing in the presence of immunodeficiency state. The following diagnosis formulation is pathogenetically warranted: the underlying disease is "Secondary immunodeficiency due to immunosuppressive therapy" and infectious complications may be assigned to the individual rubric "Secondary disease" (i.e. occurring in immunodeficiency).

Keywords:

acute myocardial infarction
endovascular surgery
transplantation
pathological anatomy
cytomegalovirus infection
pneumocystis pneumonia.

Authors:

Nefedova G.A.

Sklifosovsky Research Institute for Emergency Care of Moscow Healthcare Department, Moscow, Russia

Bulava G.V.

GBUZ "NII skoroĭ pomoshchi im. N.V. Sklifosovskogo" Departamenta zdravookhraneniia Moskvy

Galankina I.E.

Nauchno-issledovatel'skiĭ institut skoroĭ pomoshchi im. N.V. Sklifosovskogo, Moskva

List of references:

  1. Zairat'yants O.V., Gasanov A.B. Patologicheskaya anatomiya immunodefitsitnogo sindroma pri intoksikatsiyakh razlichnogo geneza i v usloviyakh intensivnoi terapii. V kn.: 85-letie patologoanatomicheskoi sluzhby NII Skoroi pomoshchi im. N.V. Sklifosovskogo: Materialy gor. nauch.-prakt. konf.: Trudy in-ta. t. 177. M.; 2005: 83-8.
  2. Shumakov V.I., Khubutiya M.Sh., Shevchenko O.P. Ottorzhenie transplantirovannogo serdtsa. M.: Reafarm; 2005. 240 s.
  3. Camargo L.F., Uip D., Simpson A., Caballero O., Stolf N.A., Vilas-Boas L.S. et al. Comparison between antigenemia and quantitative-competitive polymerase chain reaction for the diagnosis of cytomegalovirus infection after heart transplantation. Transplantation. 2001; 71: 412-7.
  4. Montoya J.G., Giraldo L.F., Efron B., Stinson I. Infectious complications among 620 consecutive heart transplant patients at Stanford University Medical Center. Clin. Infect. Dis. 2001; 33: 629-40.
  5. Petrakopoulou P., Kübrich M., Pehlivanli S., Meiser B., Reichart B., von Scheidt W., Weis M. Sytomegalovirus Infection in Heart Transplant Recipients Is Associated With Impaired Endothelial Function. Circulation. 2004; 110: II-207-12.
  6. Nefedova G.A., Galankina I.E. Osobennosti tanatogeneza i obshirnost' infarkta miokarda v zavisimosti ot rasprostranennosti ateroskleroticheskogo stenozirovaniya koronarnykh arterii. Arkhiv patologii. 2004; 4: 17-20.
  7. Khubutiya M.Sh., Gazaryan G.A., Zakharov I.V., Nefedova G.A., Bikbova N.M., Grigor'yan K.S. Optimizatsiya dostupnosti reperfuzionnoi terapii v ostrom periode infarkta miokarda s elevatsiei segmenta ST. V kn.: Aktual'nye problemy lecheniya infarkta miokarda: Materialy gor. nauch.-prakt. konf.: Trudy in-ta. t. 222. M.; 2011: 11-6.
  8. Avtandilov G.G., Zairat'yants O.V., Kakturskii L.V. Oformlenie diagnoza. M.: Meditsina; 2004. 303 s.

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