Long-term outcome of sirolimus-eluting stent implantation for left main coronary artery stenosis in infancy.
Drug-eluting stents (DES) have markedly reduced the incidence of coronary in-stent restenosis. However, DES may be still vulnerable to coronary thrombus, and the long-term outcome remains unknown, especially in infancy. Here, we present a 9-month-old infant, who developed severe stenosis of the left main coronary artery after surgery for Brand-White-Garland syndrome, and was successfully treated with DES. He was healthy and his cardiac function had improved to the normal level at 6 years old. An angiographic examination and computed tomography showed the complete persistence of DES and no evidence of intimal thickening.
Department of Pediatrics, Graduate School of Medicine, Kyoto University, Kawahara-machi 54, Shogoin, Sakyo-ku, 606-8507 Kyoto, Japan.
Shinji
S
Kaichi
Hiraku
H
Doi
Fumitoshi
F
Tsurumi
Toshio
T
Heike
D015906:Angioplasty, Balloon, Coronary; D017023:Coronary Angiography; D023921:Coronary Stenosis; D054855:Drug-Eluting Stents; D004562:Electrocardiography; D006801:Humans; D007166:Immunosuppressive Agents / Q000008:administration & dosage; D007223:Infant; D008297:Male; D020123:Sirolimus / Q000008:administration & dosage; D013997:Time Factors; D016896:Treatment Outcome
D007166:Immunosuppressive Agents; D020123:Sirolimus