Congenital Heart Center, Spectrum Health Helen DeVos Children's Hospital, Grand Rapids, Michigan.
West Michigan Anesthesia, PC, Grand Rapids, Michigan.
Catheter Cardiovasc Interv. 2019 Jun 1;93(7):E381-E384. doi: 10.1002/ccd.28092. Epub 2019 Jan 31.
An infant with hypoplastic left heart syndrome (HLHS) presented with complete heart block and severe myocardial dysfunction requiring ECMO support due to complete left main coronary artery (LMCA) thrombosis. Current guidelines for managing coronary artery thrombosis in infants with single ventricle physiology are inadequate. We describe successful LMCA and branch recanalization via intra coronary infusion of recombinant tissue plasminogen activator and discuss management of acute coronary thrombosis in children with single ventricle physiology.
一名患有左心发育不全综合征（HLHS）的婴儿因完全性左主干冠状动脉（LMCA）血栓形成导致完全性心脏传导阻滞和严重心肌功能障碍，需要 ECMO 支持。目前针对单心室生理患儿冠状动脉血栓形成的治疗指南并不完善。我们通过冠状动脉内输注重组组织型纤溶酶原激活剂成功地进行了 LMCA 和分支再通，并讨论了单心室生理患儿急性冠状动脉血栓形成的治疗方法。
