Journal
INTERNATIONAL JOURNAL OF CARDIOLOGY
Volume 131, Issue 3, Pages E120-E123Publisher
ELSEVIER IRELAND LTD
DOI: 10.1016/j.ijcard.2007.07.078
Keywords
Coronary vasospasm; Ventricular tachycardia; Heart transplantation
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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. (C) 2007 Elsevier Ireland Ltd. All rights reserved.
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