Abstract

A 61-year-old man with known history of prostatic hypertrophy was transferred from a local community hospital with an acute myocardial infarction. Urgent cardiac transplantation (CTA) evaluation was initiated due to ischemia-induced ventricular septal injury. Pretransplant work-up on hospital day 1 notable for serum PSA of 232 ng/mL. Most recent PSA, 2.5 years prior to hospitalization, was 6.8 ng/mL. A rectal examination revealed an asymmetrically enlarged, smooth prostate.

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