Coronary Artery Vasospasm Requiring Cardiac Autotransplantation Yet Controlled With Tobacco

Matthew V Tran; Eric Marceau; Yu Liu; Karim Sallam; Pedro Medina; Chun Liu; Nazish Sayed; Matthew D Muller; David H Liang; Ian Y Chen

doi:10.1016/j.jaccas.2021.03.018

Coronary Artery Vasospasm Requiring Cardiac Autotransplantation Yet Controlled With Tobacco

JACC Case Rep. 2021 May 26;3(9):1177-1181. doi: 10.1016/j.jaccas.2021.03.018. eCollection 2021 Aug 4.

Authors

Matthew V Tran^{1

2}, Eric Marceau^{1

2}, Yu Liu¹, Karim Sallam^{1

2

3}, Pedro Medina^{1

2}, Chun Liu¹, Nazish Sayed¹, Matthew D Muller⁴, David H Liang³, Ian Y Chen^{1

2}

Affiliations

¹ Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, California, USA.
² Medical Service, Cardiology Section, Veterans Affairs Palo Alto Health Care System, Palo Alto, California, USA.
³ Department of Medicine, Division of Cardiovascular Medicine, Stanford University School of Medicine, Stanford, California, USA.
⁴ Department of Anesthesiology and Perioperative Medicine, University Hospitals Cleveland Medical Center, Cleveland, Ohio, USA.

Abstract

Coronary artery vasospasm is typically managed through avoidance of triggers and with symptomatic treatments with calcium channel blockers and long-acting nitrates. Here, we report a rare case of medically refractory coronary artery vasospasm associated with genetic predispositions that initially required cardiac autotransplantation followed paradoxically by nicotine for long-term symptomatic control. (Level of Difficulty: Intermediate.).

Keywords: CAV, coronary artery vasospasm; CCB, calcium channel blocker; autonomic modulation; cardiac autotransplantation; coronary artery vasospasm; nicotine.

Publication types

Case Reports