Emergency trans-catheter coronary intervention for left main compression secondary to pulmonary hypertension in a 4-year-old child.
Gianfranco ButeraNizar Ben MansourFederico De MarcoPublished in: Catheterization and cardiovascular interventions : official journal of the Society for Cardiac Angiography & Interventions (2018)
Here, we report on the case of a 4-year-old child with large atrial septal defect (ASD) and severe pulmonary hypertension presenting an ischemic cardiomyopathy secondary to left main (LM) compression by a dilated pulmonary artery trunk. Despite of surgical treatment consisting in ASD closure and coronary artery bypass grafting, the patient was not weanable from ECMO. Control coronarography showed a near-occlusion of the left mammary bypass. A rescue percutaneous LM angioplasty with drug-eluting stent implantation was performed.
Keyphrases
- pulmonary hypertension
- pulmonary artery
- coronary artery bypass grafting
- coronary artery disease
- autism spectrum disorder
- coronary artery
- pulmonary arterial hypertension
- percutaneous coronary intervention
- case report
- mental health
- attention deficit hyperactivity disorder
- ultrasound guided
- randomized controlled trial
- extracorporeal membrane oxygenation
- emergency department
- intellectual disability
- acute respiratory distress syndrome
- public health
- atrial fibrillation
- heart failure
- minimally invasive
- lower limb
- left atrial
- respiratory failure
- drug induced
- radiofrequency ablation
- oxidative stress
- catheter ablation