Subahi Ahmed, Forbes Thomas, Ali Omar E
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.
Int J Cardiol Heart Vasc. 2020 Apr 8;28:100511. doi: 10.1016/j.ijcha.2020.100511. eCollection 2020 Jun.
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.
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。