Percutaneous coronary intervention following Fontan procedure

Fontan procedure is known to increase the risk of thromboembolic events. However, coronary artery thrombotic occlusion is rarely reported in patients with Fontan procedure. We present a case of a 10-year-old boy with hypoplastic left heart syndrome palliated with a Fontan procedure who presented wit...

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Main Authors: Ahmed Subahi, Thomas Forbes, Omar E. Ali
Format: Article
Language:English
Published: Elsevier 2020-06-01
Series:International Journal of Cardiology: Heart & Vasculature
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S2352906719302490
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author Ahmed Subahi
Thomas Forbes
Omar E. Ali
author_facet Ahmed Subahi
Thomas Forbes
Omar E. Ali
author_sort Ahmed Subahi
collection DOAJ
description Fontan procedure is known to increase the risk of thromboembolic events. However, coronary artery thrombotic occlusion is rarely reported in patients with Fontan procedure. We present a case of a 10-year-old boy with hypoplastic left heart syndrome palliated with a Fontan procedure who presented with myocardial infarction secondary to thrombotic occlusion of the left circumflex coronary artery. He underwent successful percutaneous coronary intervention with thrombus aspiration, balloon angioplasty, and stent placement, highlighting the necessity of collaboration between congenital and adult cardiologists to treat acute coronary syndrome among this challenging young population.
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spelling doaj.art-483d7fec54564d42b40a607fa99f9bf42022-12-22T02:04:54ZengElsevierInternational Journal of Cardiology: Heart & Vasculature2352-90672020-06-0128100511Percutaneous coronary intervention following Fontan procedureAhmed Subahi0Thomas Forbes1Omar E. Ali2Department of Cardiology, Wayne State University/Detroit Medical Center, Detroit, MI, United States; Corresponding author.Department of Cardiology, Wayne State University/Children's Hospital of Michigan, Detroit, MI, United StatesDepartment of Cardiology, Wayne State University/Detroit Medical Center, Detroit, MI, United States; CardiacCatheter Lab, Detroit Medical Center, Detroit, MI, United StatesFontan procedure is known to increase the risk of thromboembolic events. However, coronary artery thrombotic occlusion is rarely reported in patients with Fontan procedure. We present a case of a 10-year-old boy with hypoplastic left heart syndrome palliated with a Fontan procedure who presented with myocardial infarction secondary to thrombotic occlusion of the left circumflex coronary artery. He underwent successful percutaneous coronary intervention with thrombus aspiration, balloon angioplasty, and stent placement, highlighting the necessity of collaboration between congenital and adult cardiologists to treat acute coronary syndrome among this challenging young population.http://www.sciencedirect.com/science/article/pii/S2352906719302490Acute myocardial infarctionAdult congenital heart diseasePediatric intervention
spellingShingle Ahmed Subahi
Thomas Forbes
Omar E. Ali
Percutaneous coronary intervention following Fontan procedure
International Journal of Cardiology: Heart & Vasculature
Acute myocardial infarction
Adult congenital heart disease
Pediatric intervention
title Percutaneous coronary intervention following Fontan procedure
title_full Percutaneous coronary intervention following Fontan procedure
title_fullStr Percutaneous coronary intervention following Fontan procedure
title_full_unstemmed Percutaneous coronary intervention following Fontan procedure
title_short Percutaneous coronary intervention following Fontan procedure
title_sort percutaneous coronary intervention following fontan procedure
topic Acute myocardial infarction
Adult congenital heart disease
Pediatric intervention
url http://www.sciencedirect.com/science/article/pii/S2352906719302490
work_keys_str_mv AT ahmedsubahi percutaneouscoronaryinterventionfollowingfontanprocedure
AT thomasforbes percutaneouscoronaryinterventionfollowingfontanprocedure
AT omareali percutaneouscoronaryinterventionfollowingfontanprocedure