Coronary Vasospasm After Heart Transplantation: Does It Portend Poor Outcome?

Recurrent Coronary Artery Vasospasm Complicated by Cardiac Arrests in Heart Transplant Recipient: An Unusual Enemy

“…1 Although this phenomenon is rare in heart transplant (HT) recipients, asymptomatic coronary vasospasm (CV) may be observed during routine coronary angiography, 2 serving as a potential marker of poor prognosis in this population. 3 A single case of multiple cardiocirculatory arrests due to recurrent CV in an HT recipient was described. 4 We present the case of a 30-y-old male who underwent HT in 2007 for dilatative cardiomyopathy.…”

“…Furthermore, CAD progression documented after the second CCA suggests CV as an early manifestation of coronary allograft vasculopathy. 3 The hypothesis of pathological vasoreactivity in the donor's heart, compounded by factors like antibody-mediated rejection, is intriguing, yet purely speculative. On the other hand, DSAs normalization without symptom relief underscores the multifactorial nature of this phenomenon.…”