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Coronary Artery Vasospasm Requiring Cardiac Autotransplantation Yet Controlled With Tobacco
Matthew V Tran1,2, Eric Marceau1,2, Yu Liu1
1Stanford Cardiovascular Institute, Stanford University School of Medicine, Stanford, California, USA.
JACC. Case Reports
|August 17, 2021
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.).

