Elsevier

JACC: Case Reports

Volume 3, Issue 9, 4 August 2021, Pages 1177-1181
JACC: Case Reports

Case Report
Clinical Case
Coronary Artery Vasospasm Requiring Cardiac Autotransplantation Yet Controlled With Tobacco

https://doi.org/10.1016/j.jaccas.2021.03.018Get rights and content
Under a Creative Commons license
open access

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.)

Key Words

autonomic modulation
cardiac autotransplantation
coronary artery vasospasm
nicotine

Abbreviations and Acronyms

CAV
coronary artery vasospasm
CCB
calcium channel blocker

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