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Fontan手术后的经皮冠状动脉介入治疗。

Percutaneous coronary intervention following Fontan procedure.

作者信息

Subahi Ahmed, Forbes Thomas, Ali Omar E

机构信息

Department of Cardiology, Wayne State University/Detroit Medical Center, Detroit, MI, United States.

Department of Cardiology, Wayne State University/Children's Hospital of Michigan, Detroit, MI, United States.

出版信息

Int J Cardiol Heart Vasc. 2020 Apr 8;28:100511. doi: 10.1016/j.ijcha.2020.100511. eCollection 2020 Jun.

DOI:10.1016/j.ijcha.2020.100511
PMID:32300638
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7152654/
Abstract

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.

摘要

已知Fontan手术会增加血栓栓塞事件的风险。然而,Fontan手术患者中冠状动脉血栓闭塞的报道很少。我们报告一例10岁患有左心发育不全综合征并接受Fontan手术姑息治疗的男孩,他因左旋支冠状动脉血栓闭塞继发心肌梗死。他接受了成功的经皮冠状动脉介入治疗,包括血栓抽吸、球囊血管成形术和支架置入,这凸显了先天性心脏病专家和成人心脏病专家合作治疗这一具有挑战性的年轻人群急性冠状动脉综合征的必要性。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/aa6df8807cd6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/b7cbd3836b69/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/21491bf56583/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/c50683280661/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/aa6df8807cd6/gr4.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/b7cbd3836b69/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/21491bf56583/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/c50683280661/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cce8/7152654/aa6df8807cd6/gr4.jpg

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本文引用的文献

1
Evaluation and Management of the Child and Adult With Fontan Circulation: A Scientific Statement From the American Heart Association.《Fontan循环患儿及成人的评估与管理:美国心脏协会科学声明》
Circulation. 2019 Aug 6;140(6):e234-e284. doi: 10.1161/CIR.0000000000000696. Epub 2019 Jul 1.
2
Prevalence and outcome of thrombotic and embolic complications in adults after Fontan operation.Fontan手术后成人血栓形成和栓塞并发症的发生率及转归
Am Heart J. 2017 Jan;183:10-17. doi: 10.1016/j.ahj.2016.09.014. Epub 2016 Oct 4.
3
A Rare Case of Embolic ST-Elevation Myocardial Infarction in an Adult Patient With Repaired Hypoplastic Left Heart Syndrome.
一名成年左心发育不全综合征修复术后患者发生栓塞性ST段抬高型心肌梗死的罕见病例。
World J Pediatr Congenit Heart Surg. 2017 Jul;8(4):543-549. doi: 10.1177/2150135116651860. Epub 2016 Jun 13.
4
Acute Embolic Myocardial Infarction and Heart Failure in a Fontan Patient: Recovery with Impella Device and Successful Transplantation.一名Fontan手术患者的急性栓塞性心肌梗死与心力衰竭:使用Impella装置恢复并成功进行移植
ASAIO J. 2016 Nov/Dec;62(6):e52-e54. doi: 10.1097/MAT.0000000000000364.
5
Thrombus in hypoplastic aorta: An uncommon cause of acute myocardial infarction.
J Cardiovasc Comput Tomogr. 2016 May-Jun;10(3):263-4. doi: 10.1016/j.jcct.2016.03.003. Epub 2016 Mar 21.
6
Embolic myocardial infarction in a patient with a Fontan circulation.
World J Pediatr Congenit Heart Surg. 2014 Oct;5(4):631-4. doi: 10.1177/2150135114540180.
7
A multicenter, randomized trial comparing heparin/warfarin and acetylsalicylic acid as primary thromboprophylaxis for 2 years after the Fontan procedure in children.多中心、随机临床试验比较肝素/华法林和乙酰水杨酸作为 Fontan 手术后 2 年的主要血栓预防药物在儿童中的应用。
J Am Coll Cardiol. 2011 Aug 2;58(6):645-51. doi: 10.1016/j.jacc.2011.01.061.
8
The adult Fontan patient: update for 2011.成人Fontan手术患者:2011年最新进展
Methodist Debakey Cardiovasc J. 2011 Apr-Jun;7(2):3-8. doi: 10.14797/mdcj-7-2-3.
9
Antiphospholipid syndrome leading to myocardial infarction in a Fontan patient 17 years after Norwood palliation.在诺伍德姑息手术后17年,抗磷脂综合征导致一名Fontan手术患者发生心肌梗死。
Congenit Heart Dis. 2009 Jan-Feb;4(1):54-8. doi: 10.1111/j.1747-0803.2008.00217.x.
10
ACC/AHA 2008 guidelines for the management of adults with congenital heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Develop Guidelines on the Management of Adults With Congenital Heart Disease). Developed in Collaboration With the American Society of Echocardiography, Heart Rhythm Society, International Society for Adult Congenital Heart Disease, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons.美国心脏病学会/美国心脏协会2008年成人先天性心脏病管理指南:美国心脏病学会/美国心脏协会实践指南工作组(制定成人先天性心脏病管理指南写作委员会)报告。与美国超声心动图学会、心律学会、国际成人先天性心脏病学会、心血管造影和介入学会以及胸外科医师学会合作制定。
J Am Coll Cardiol. 2008 Dec 2;52(23):e143-e263. doi: 10.1016/j.jacc.2008.10.001.