[Angina after a heart transplant with evidence of late sympathetic reinnervation. Report of one case].
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.
Riedemann S
Erick
E
Departamento de Enfermedades Cardiovasculares y Cirugía Cardiaca, Servicio de Medicina Nuclear, Hospital Clínico Pontificia Universidad Católica de Chile, Santiago, Chile.
Castro G
Pablo
P
Quintana F
Juan Carlos
JC
Pérez P
Osvaldo
O
Mc-Nab M
Paul
P
D000787:Angina Pectoris / Q000209:etiology* / Q000601:surgery; D015906:Angioplasty, Balloon, Coronary; D003324:Coronary Artery Disease / Q000150:complications* / Q000628:therapy*; D006321:Heart / Q000294:innervation*; D016027:Heart Transplantation; D006801:Humans; D008297:Male; D008875:Middle Aged; D009204:Myocardial Revascularization; D012086:Reoperation; D015607:Stents