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2. Early right coronary vasospasm presenting with malignant arrhythmias in a heart transplantation recipient without allograft vasculopathy

Author

Pistono, M., Brentana, L., Gnemmi, M., Imparato, A., Temporelli, P.L., Zingarelli, E., Patané, F., and Giannuzzi, P.

Subjects
*CORONARY vasospasm, *ARRHYTHMIA, *HEART transplant recipients, *ETIOLOGY of diseases, *HOMOGRAFTS, *VENTRICULAR tachycardia
Abstract

Abstract: In heart transplant recipients, the aetiology of coronary vasospasm is largely unknown but it has been reported to be related to coronary vasculopathy or allograft rejection. We report a case of acute, reversible coronary vasospasm which caused malignant arrhythmias in a cardiac transplant recipient one month after transplantation without evidence of coronary vasculopathy or allograft rejection. The patient had a normal post-operative course with no other complications; this case supports the hypothesis that coronary vasospasm is not necessarily related to epicardial coronary artery disease or allograft rejection, but rather may be due to an abnormal reversible vasoreactivity. [Copyright &y& Elsevier]

Published
2009
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