Intraoperative rescue by placement of a stent following a surgical coronary arterial injury in a child.
An acute injury to a coronary artery was recognized during the surgical construction of the Fontan circulation. Surgical manipulation of the site of injury was not successful in restoring normal myocardial blood flow. A stent was therefore placed intraoperatively under direct vision, with restoration of normal coronary arterial flow acutely and at short-term follow-up.
Duncan
Walter J
WJ
Division of Cardiology, Department of Pediatrics, University of British Columbia, Vancouver, Canada. wduncan@cw.bc.ca
LeBlanc
Jacques G
JG
Human
Derek G
DG
D002315:Cardiopulmonary Bypass / Q000379:methods; D002648:Child; D003331:Coronary Vessels / Q000293:injuries / Q000601:surgery*; D005260:Female; D018729:Fontan Procedure / Q000379:methods; D018610:Heart Bypass, Right / Q000379:methods; D006335:Heart Injuries / Q000209:etiology*; D006801:Humans; D007430:Intraoperative Care; D007431:Intraoperative Complications / Q000601:surgery*; D007432:Intraoperative Period; D015607:Stents; D016896:Treatment Outcome