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Cardiac Transplantation: Denervation, Reinnervation, and Myocardial Blood Flow

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Abstract

The intact heart is innervated by the parasympathetic and sympathetic fibers of the autonomic nervous system. Cardiac transplantation results in transection of the postganglionic neural axons innervating the heart. Axonal degeneration develops within days after transplantation and leads to total depletion of cardiac norepinephrine stores and eventual disappearance of nerve terminals in the transplanted tissue, resulting in total cardiac denervation.

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Correspondence to Avishay Grupper MD .

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Grupper, A., Gewirtz, H., Kushwaha, S.S. (2017). Cardiac Transplantation: Denervation, Reinnervation, and Myocardial Blood Flow. In: Dilsizian, V., Narula, J. (eds) Atlas of Cardiac Innervation. Springer, Cham. https://doi.org/10.1007/978-3-319-45800-7_10

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  • DOI: https://doi.org/10.1007/978-3-319-45800-7_10

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  • Publisher Name: Springer, Cham

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