Treatment of unprotected left main coronary artery stenosis in a 5-year-old heart transplant patient using a sirolimus-eluting stent.
Cardiac allograft vasculopathy is the most common cause of long-term graft failure in adult and pediatric heart transplant recipients. In the absence of a specific treatment for this condition, percutaneous revascularization has been the main palliative treatment in the adult population. Revascularization of pediatric patients, however, is more problematic secondary to the lack of a large pool of outcome data and the encounter of special technical challenges. We present the case of a 5-year-old girl who presented with severe cardiac allograft vasculopathy of her left main coronary artery and was treated with sirolimus stent placement.
Salloum
Joseph G
JG
Division of Cardiology, Department of Internal Medicine, Vanderbilt University, Nashville, Tennessee 37232, USA. joseph.g.salloum@vanderbilt.edu
Dodd
Debra A
DA
Slosky
David
D
Zhao
David X M
DX
D002675:Child, Preschool; D017023:Coronary Angiography; D023921:Coronary Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000628:therapy*; D016503:Drug Delivery Systems; D005260:Female; D016027:Heart Transplantation / Q000009:adverse effects*; D006801:Humans; D020123:Sirolimus / Q000008:administration & dosage*; D015607:Stents; D016896:Treatment Outcome
D020123:Sirolimus