Hostname: page-component-76fb5796d-wq484 Total loading time: 0 Render date: 2024-04-26T08:19:01.797Z Has data issue: false hasContentIssue false
  • English
  • Français

Coronary artery embolism in a patient with Fontan palliation: a rare complication

Published online by Cambridge University Press:  29 May 2020

Amrit Misra Open the ORCID record for Amrit Misra [Opens in a new window] ,
Marjorie Gayanilo  and
Pooja Gupta
Amrit Misra*
Affiliation:
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
Marjorie Gayanilo
Affiliation:
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
Pooja Gupta
Affiliation:
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
*
Author for correspondence: Amrit Misra, MD, Department of Pediatrics, Division of Pediatric Cardiology, Wayne State University School of Medicine, Children’s Hospital of Michigan, 3901 Beaubien Street, Detroit, MI48201, USA. Tel: +1 313 745 5481; Fax: +1 313 993 0894. E-mail: amisra@dmc.org
Get access Rights & Permissions [Opens in a new window]

Abstract

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.

Keywords

Myocardial infarctionsingle ventriclecoronary emboli
Type
Brief Report
Information
Cardiology in the Young , Volume 30 , Issue 7 , July 2020 , pp. 1029 - 1031
Copyright
© The Author(s), 2020. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Alsaied, T, Alsidawi, S, Allen, CC, et al.Strategies for thromboprophylaxis in Fontan circulation: a meta-analysis. Heart 2015; 101: 1731–1737.CrossRefGoogle ScholarPubMed
Egbe, AC, Connolly, HM, McLeod, CJ, et al.Thrombotic and embolic complications associated with atrial arrhythmia after Fontan operation: role of prophylactic therapy. J Am Coll Cardiol 2016; 68: 1312–1319.CrossRefGoogle ScholarPubMed
Morchi, GS, Wolfe, RR, Kay, JD.Antiphospholipid syndrome leading to myocardial infarction in a Fontan patient 17 years after Norwood palliation. Congenit Heart Dis 2009; 4: 54–58.CrossRefGoogle Scholar
Hastings, RS, McElhinney, DB, Saric, M, et al.Embolic myocardial infarction in a patient with a Fontan circulation. World J Pediatr Congenit Heart Surg 2014; 5: 631–634.CrossRefGoogle Scholar
Shamoon, R, Habib, H, Rampal, U, et al.A rare case of embolic ST-elevation myocardial infarction in an adult patient with repaired hypoplastic left heart syndrome. World J Pediatr Congenit Heart Surg 2017; 8: 543–549.CrossRefGoogle Scholar
Deshpande, SR, Dalal, A, Kim, DW, et al.Acute embolic myocardial infarction and heart failure in a Fontan patient: recovery with Impella device and successful transplantation. ASAIO J 2016; 62: e52–e54.CrossRefGoogle Scholar
Stout, KK, Daniels, CJ, Aboulhosn, JA, et al.2018 AHA/ACC guideline for the management of adults with congenital heart disease: executive summary: a report of the American College of Cardiology/American Heart Association Task Force on Clinical Practice Guidelines. J Am Coll Cardiol 2019; 139: e698–e800.Google Scholar
Supplementary material: Image

Misra et al. supplementary material

Misra et al. supplementary material

Download Misra et al. supplementary material(Image)
Image 1.3 MB