Misra Amrit, Gayanilo Marjorie, Gupta Pooja
Carman and Ann Adams Department of Pediatrics, Division of Pediatric Cardiology, Wayne State University School of Medicine, Children's Hospital of Michigan, Detroit, MI, USA.
Cardiol Young. 2020 Jul;30(7):1029-1031. doi: 10.1017/S1047951120001274. Epub 2020 May 29.
Coronary artery embolism is extremely rare in children with Fontan palliation. We report a 10-year-old boy with hypoplastic left heart syndrome post-Fontan procedure who presented with acute onset chest pain and ST-segment changes on electrocardiogram. Cardiac catheterisation revealed coronary artery emboli requiring stent placement. Our case highlights the importance of evaluating chest pain in a systematic manner in Fontan patients as acute coronary artery embolism can be a part of the spectrum of well-known thromboembolic complications.
在接受Fontan手术的儿童中，冠状动脉栓塞极为罕见。我们报告了一名10岁患有左心发育不全综合征的男孩，在Fontan手术后出现急性胸痛和心电图ST段改变。心脏导管检查显示冠状动脉有栓子，需要放置支架。我们的病例强调了对Fontan患者的胸痛进行系统评估的重要性，因为急性冠状动脉栓塞可能是众所周知的血栓栓塞并发症谱的一部分。
