Angina secundaria a lesión de tronco coronario izquierdo post trasplante cardiaco: Evidencias de reinervación simpática tardía

• Erick Riedemann S ^[1] ; Pablo Castro G ^[1] ; Juan Carlos Quintana F ^[1] ; Osvaldo Pérez P ^[1] ; Paul Mc-Nab M ^[1]
  1. [1] Pontificia Universidad Católica de Chile

     Pontificia Universidad Católica de Chile

     Santiago, Chile

     
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 135, Nº. 12, 2007, págs. 1577-1581
• Idioma: español
• Títulos paralelos:
  • Angina after a heart transplant with evidence of late sympathetic reinnervation: Report of one case
• Enlaces
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• Resumen

  • 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