title: Acute Embolic Myocardial Infarction and Heart Failure in a Fontan Patient: Recovery with Impella Device and Successful Transplantation.
abstract: Patients with Fontan palliation are at a higher risk of thromboembolic events, as well as sudden death. We report a case of acute thromboembolic myocardial infarction in a patient with Fontan circulation, presenting with acute heart failure. Coronary thrombolysis and reperfusion did not improve the myocardial dysfunction and warranted a unique application of mechanical support with Impella 2.5 pump as a bridge to decision. The patient was successfully transplanted. The case highlights the thromboembolic risks and provides support for the early use of mechanical support in such scenarios, even in single ventricle patients.
authors.affiliation: From the *Division of Pediatric Cardiology, Children's Healthcare of Atlanta, Emory University, Atlanta, Georgia; and †Division of Cardiology, Emory University, Atlanta, Georgia.
authors.forename: Shriprasad R
authors.initials: SR
authors.lastname: Deshpande
authors.forename: Aarti
authors.initials: A
authors.lastname: Dalal
authors.forename: Dennis W
authors.initials: DW
authors.lastname: Kim
authors.forename: Vasilis
authors.initials: V
authors.lastname: Babaliaros
authors.forename: Maan
authors.initials: M
authors.lastname: Jokhadar
mesh_terms: D000208:Acute Disease; D000293:Adolescent; D018729:Fontan Procedure / Q000009:adverse effects*; D006333:Heart Failure / Q000209:etiology*; D016027:Heart Transplantation; D006353:Heart-Assist Devices; D006801:Humans; D008297:Male; D009203:Myocardial Infarction / Q000209:etiology*; D013923:Thromboembolism / Q000209:etiology*