Colocalization of low and oscillatory coronary wall shear stress with subsequent culprit lesion resulting in myocardial infarction in an orthotopic heart transplant patient.

Low and oscillatory wall shear stress (WSS) have been implicated in the pathogenesis of atherosclerosis [(1,2)][1]. Furthermore, cardiac allograft vasculopathy (CAV) has the highest rate of progression opposite flow dividers, suggesting a role of regional fluid dynamics [(3)][2]. However, to our