title: Percutaneous coronary intervention in a 3-year-old with hypoplastic left heart syndrome.
abstract: Mortality outcomes associated with surgical palliation for hypoplastic left heart syndrome (HLHS) have continued to improve with time. Despite these advances, interstage mortality continues to be difficult to predict and prevent. This case report details a 3-year-old boy with HLHS palliated with a Glenn shunt who presented with acute myocardial infarction due to near total occlusion of the distal right coronary artery. He was treated by thrombus aspiration with good clinical response. This is the first report of thrombus aspiration in complex pediatric congenital heart disease and demonstrates the utility of collaboration between congenital and adult cardiologists.
authors.affiliation: East Midlands Congenital Heart Centre Glenfield Hospital, Groby Road, Leicester LE3 9QP.
authors.forename: P M E
authors.initials: PM
authors.lastname: Noonan
authors.affiliation: East Midlands Congenital Heart Centre Glenfield Hospital, Groby Road, Leicester LE3 9QP.
authors.forename: D
authors.initials: D
authors.lastname: Taliotis
authors.affiliation: East Midlands Congenital Heart Centre Glenfield Hospital, Groby Road, Leicester LE3 9QP.
authors.forename: A
authors.initials: A
authors.lastname: Alahmar
mesh_terms: D002675:Child, Preschool; D017023:Coronary Angiography; D054059:Coronary Occlusion / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D003328:Coronary Thrombosis / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D018729:Fontan Procedure; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000175:diagnosis / Q000601:surgery*; D008297:Male; D009203:Myocardial Infarction / Q000175:diagnosis / Q000209:etiology / Q000628:therapy*; D010166:Palliative Care; D062645:Percutaneous Coronary Intervention / Q000379:methods*; D013396:Suction; D017131:Thrombectomy / Q000379:methods*; D016896:Treatment Outcome; D020246:Venous Thrombosis / Q000150:complications* / Q000175:diagnosis
keywords: acute coronary syndrome; pediatric interventions; percutaneous coronary intervention