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Percutaneous coronary intervention following Fontan procedure.


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.

SUBMITTER: Subahi A 

PROVIDER: S-EPMC7152654 | biostudies-literature | 2020 Jun

REPOSITORIES: biostudies-literature

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Percutaneous coronary intervention following Fontan procedure.

Subahi Ahmed A   Forbes Thomas T   Ali Omar E OE  

International journal of cardiology. Heart & vasculature 20200408


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 angioplas  ...[more]

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