Angina after a heart transplant with evidence of late sympathetic reinnervation. Report of one case
Riedemann S, E.; Castro G, P.; Quintana F, J.Carlos.; Pérez P, O.; Mc-Nab M, P.
Revista Medica de Chile 135(12): 1577-1581
2007
ISSN/ISBN: 0034-9887 PMID: 18357360 Document Number: 611718
We report a 56 years-old man presenting with chest pain with exercise, seven years after an orthotopic heart transplant. A coronary angiography showed an atherosclerotic lesion in the common left main coronary artery with more than 90% obstruction. The lesion was successfully treated with a transluminal angioplasty with stenting. A 131-1 metaiodobenylguanidine (MIBG) scan demonstrated sympathetic reinnervation. Sixteen months later, due to progression of allograft vasculopathy, coronary artery bypass was required.