title: Thrombus in hypoplastic aorta: An uncommon cause of acute myocardial infarction.
abstract: A coronary artery embolism is an uncommon non-atherosclerotic cause of acute myocardial infarction. We present a case of coronary artery embolism in a patient with past history of hypoplastic left heart syndrome that was initially palliated via a modified Blalock-Taussig shunt followed by a Fontan anastomosis and Damus-Kaye-Stansel type anastomosis of the pulmonary valve to the ascending hypoplastic aorta. In this case we demonstrate usefulness of cardiac CT to delineate the patient's complex anatomy, identify the presence and etiology of a thromboembolic event, as well as assess for appropriate response to anticoagulation therapy.
authors.affiliation: Non-Invasive Cardiovascular Imaging Program, Division of Cardiovascular Medicine and Department of Cardiology, Brigham and Women's Hospital, Harvard Medical School, USA. Electronic address: akeraliya@partners.org.
authors.forename: Abhishek R
authors.initials: AR
authors.lastname: Keraliya
authors.affiliation: Non-Invasive Cardiovascular Imaging Program, Division of Cardiovascular Medicine and Department of Cardiology, Brigham and Women's Hospital, Harvard Medical School, USA.
authors.forename: David J
authors.initials: DJ
authors.lastname: Murphy
authors.affiliation: Non-Invasive Cardiovascular Imaging Program, Division of Cardiovascular Medicine and Department of Cardiology, Brigham and Women's Hospital, Harvard Medical School, USA.
authors.forename: Michael L
authors.initials: ML
authors.lastname: Steigner
authors.affiliation: Non-Invasive Cardiovascular Imaging Program, Division of Cardiovascular Medicine and Department of Cardiology, Brigham and Women's Hospital, Harvard Medical School, USA.
authors.forename: Ron
authors.initials: R
authors.lastname: Blankstein
mesh_terms: D000925:Anticoagulants / Q000627:therapeutic use; D001011:Aorta / Q000002:abnormalities* / Q000000981:diagnostic imaging / Q000601:surgery; D001018:Aortic Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D001027:Aortography / Q000379:methods; D000072226:Computed Tomography Angiography; D017023:Coronary Angiography / Q000379:methods; D003324:Coronary Artery Disease / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D004617:Embolism / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D006801:Humans; D018636:Hypoplastic Left Heart Syndrome / Q000150:complications* / Q000175:diagnosis / Q000601:surgery; D008297:Male; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*; D013927:Thrombosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000188:drug therapy; D016896:Treatment Outcome; D055815:Young Adult
chemical_list: D000925:Anticoagulants
keywords: Cardiac CT; Coronary artery embolism; Hypoplastic left heart syndrome