Transplant atherosclerotic coronary disease remains the leading cause
of death in heart transplant recipients. We report the first case of c
oronary stent implantation in a heart graft for epicardial focal steno
sis. Due to the lower rate of restenosis after stenting in the native
coronary artery, we suggest that coronary stenting be considered an ac
ceptable, first intention therapeutic option instead of angioplasty al
one whenever possible.