This report describes a patient manifesting spontaneous and catheter-induced coronary artery spasm in a transplanted, denervated heart. This diagnosis should be considered in patients undergoing posttransplant coronary angiography. Intracoronary nitroglycerin should routinely be administered prior to coronary artery injections during posttransplant angiography.
Get full access to this article
View all access options for this article.
References
1.
Maseri A., Newman C., Davies G.: Coronary vasomotor tone: A heterogenous entity. Eur Heart J10:2-5, 1989.
2.
Kaski JC, Crea F., Moran D., et al: Local coronary supersensitivity to diverse vasoconstrictive stimuli in patients with variant angina. Circulation74:1255-1265, 1986.
3.
Luscher TF: Endothelin: Key to coronary vasospasm. Circulation83:701-713, 1991.
4.
Yasue H., Touyama M., Kato H., et al: Prinzmetal's variant form of angina as a manifestation of alpha adrenergic receptor coronary artery spasm: Documentation by coronary arteriography . Am Heart J91:148-152, 1976.
5.
Wilson RF, Christensen BV, Olivario MT, et al: Evidence for structural sympathetic reinnervation after orthotopic cardiac transplantation in humans. Circulation83:1210-1220, 1991.
6.
Regitz V., Bossaller C., Strasser R., et al: Myocardial catecholamine content after heart transplantation . Circulation82:620-623, 1990.
7.
Kushwaha S., Mitchell AG, Yacoub MH: Coronary artery spasm after cardiac transplantation. Am J Cardiol65:1515-1519, 1990.
8.
Little T., Macoviak J., Villanueva P., et al: Diffuse coronary vasospasm and accelerated atherosclerosis in a transplanted human heart. Am J Cardiol64:825-827, 1989.
9.
Buda AJ, Fowles RE, Schroder JS, et al: Coronary artery spasm in the denervated, transplanted human heart. Am J Med79:1144-1149, 1981 .
10.
Goldenberg IF, Levine TB: Catheter induced coronary artery spasm in a denervated transplanted human heart. Cathet Cardiovasc Vasc Diagn12:44-47, 1986.
11.
Hruban RH, Kasper EK, Gaudin PB, et al: Severe lymphocytic endothelialitis associated with coronary artery spasm in a heart transplant recipient. J Heart Lung Transplant11:42-47, 1992.
