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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
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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

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References

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