An optimal donor work-up to exclude preexisting conditions is recommended, but urgency and\ntechnical equipment in donor centers must be considered. We report a case of two coronary stents present in the\ndonor heart and the related long-term outcome.\nCase presentation: A 59-year-old European male patient suffering from dilated cardiomyopathy with severely\nreduced left ventricular function and presenting with NYHA III underwent cardiac transplantation in 2004. At the\none-year follow-up, during routine cardiac catheterization, two stents were found, one in the right coronary artery\nand one in the circumflex artery, in the patientâ??s transplanted heart. As no stent implantation was performed since\ntransplantation, these were present prior to transplantation and had been transplanted without causing clinical\nsigns. One of the stents showed in-stent restenosis, and the patient received an additional stent 7 years after\ntransplantation. The other stent still showed a good result, and no further intervention has been required so far.\nThe patient is currently in good clinical condition.\nConclusion: This is the first case report of favorable long-term stented coronary arteries prior to transplantation.\nThis case highlights the importance of the donor work-up and meticulous palpation of the coronary arteries during\ndonor evaluation.
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