PMC9676271_01
Ultrasonic echocardiogram. (A) Parasternal long axis view; (B) apical four chambers view.
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F1
Ultrasonic echocardiogram showed segmental left ventricular (LV) wall motion abnormalities (LV apex, interventricular septum), left atrial enlargement, thickening of the left ventricular wall and interventricular septal base, LVEF 52.7%, mitral valve (after leaves roots) calcification, mitral and aortic valve mild reflux, aortic sclerosis/calcification, and a small amount of pericardial effusion (Figure 1).
(A) Coronary angiography showed triple-vessel disease; (B) two stents were implanted in LAD; (C) two stents were implanted in LCX; (D) the renal artery angiography; (E) one stent was implanted in the renal artery.
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F2
Coronary angiography after the improvement of heart failure showed triple-vessel disease (proximal left anterior descending artery (LAD) 90% stenosis, middle LAD 85% stenosis, second diagonal branch 80% stenosis, distal left circumflex artery (LCX) 95% stenosis, and middle right coronary artery (RCA) 50% stenosis) (Figure 2A); two stents were implanted in each of the LAD and LCX, and the second diagonal branch underwent balloon dilation (Figures 2B,C and Supplementary material). Afterward, the renal dynamic imaging showed decreased blood perfusion and impaired function of the transplanted kidney, thus one stent was implanted in the transplanted kidney artery (Figures 2D,E and Supplementary material).
The lipid level and serum creatinine during hospitalization and follow-up.
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F3
Recent LVEF was 56.7% by ultrasonic echocardiogram and the lipid levels improved (Figure 3).