Coronary artery embolism in a patient with Fontan palliation: a rare complication.
Amrit MisraMarjorie GayaniloPooja GuptaPublished in: Cardiology in the young (2020)
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.
Keyphrases
- coronary artery
- pulmonary artery
- liver failure
- end stage renal disease
- case report
- respiratory failure
- ejection fraction
- chronic kidney disease
- heart failure
- newly diagnosed
- drug induced
- young adults
- aortic dissection
- atrial fibrillation
- prognostic factors
- left ventricular
- hepatitis b virus
- risk factors
- minimally invasive
- pulmonary hypertension
- patient reported outcomes
- ultrasound guided
- pulmonary arterial hypertension