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European Heart Journal 1988 9(5):557-560;
Copyright © 1988 by the European Society of Cardiology.
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© 1988 The European Society of Cardiology

Coronary artery spasm in a transplant patient

S. CATTAN*, G. DROBINSKI{dagger}, J.-Y. ARTIGOU{dagger}, Y. GROGOGEAT{dagger} and C. CABROL{ddagger}

*Department of Cardiology, University René Descartes, Hospital Cochin Paris, France
{dagger}Department of Cardiology, Hospital Pitié-Salpétrière, Hospital Pitié-Salpétrière Paris, France
{ddagger}Department of Cardiovascular Surgery, Hospital Pitié-Salpétrière Paris, France

Received 16 June 1987; revised 21 October 1987; .

Address for reprints: Dr. S. Cattan, University René Descartes, Department of Cardiology, 27, Rue Faubourg Saint Jacques, 75 674 Paris cedex 14, France

Abstract

The mechanism of coronary spasm is poorly understood. We report a case of coronary artery spasm in a cardiac transplant patient. Pharmacologic testing indicated denervation of the patient's heart. Therefore coronary artery spasm may occur despite cardiac denervation. This case demonstrates that intact autonomic nervous system and cardiac innervation are not essential for coronary artery spasm.

Key Words: Cardiac tranplantation • coronary artery spam


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