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Why do coronary arteries get damaged after heart transplantation?

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Why do coronary arteries get damaged after heart transplantation?

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References: Michael J. Dunn, Samantha J. Crip, Marlene L. Rose, Patricia M. Taylor, Magdi Yacoub Anti-endothelial antibodies and coronary artery disease after cardiac transplantation, The Lancet vol 339: June 27, 1992. Accelerated coronary artery disease is the third most common cause of death after heart transplantation, following behind infection and acute rejection. The disease has a multifactorial aetiology, with little agreement about the relative importance of the various risk factors. Some studies provided evidence of immune involvement in this disease, and showed anti-endothelial antibodies in patients with accelerated coronary artery disease.

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