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

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

doi:10.1016/j.ijcard.2007.07.078

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

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

Istituti Clinici Scientifici Maugeri Spa – Società Benefit

Research output: Contribution to journal › Article › peer-review

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.

Original language	English
Journal	International Journal of Cardiology
Volume	131
Issue number	3
DOIs	https://doi.org/10.1016/j.ijcard.2007.07.078
Publication status	Published - Jan 24 2009

Keywords

Coronary vasospasm
Heart transplantation
Ventricular tachycardia

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.ijcard.2007.07.078

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Early right coronary vasospasm presenting with malignant arrhythmias in a heart transplantation recipient without allograft vasculopathy. / Pistono, M.; Brentana, L.; Gnemmi, M.; Imparato, A.; Temporelli, P. L.; Zingarelli, E.; Patané, F.; Giannuzzi, P.

In: International Journal of Cardiology, Vol. 131, No. 3, 24.01.2009.

Research output: Contribution to journal › Article › peer-review

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AU - Gnemmi, M.

AU - Imparato, A.

AU - Temporelli, P. L.

AU - Zingarelli, E.

AU - Patané, F.

AU - Giannuzzi, P.

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AB - 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.

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KW - Heart transplantation

KW - Ventricular tachycardia

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

Abstract

Keywords

ASJC Scopus subject areas

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