Emergency trans‐catheter coronary intervention for left main compression secondary to pulmonary hypertension in a 4‐year‐old child | Zendy

Butera Gianfranco | Zendy; Mansour Nizar Ben | Zendy; De Marco Federico | Zendy

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Emergency trans‐catheter coronary intervention for left main compression secondary to pulmonary hypertension in a 4‐year‐old child

Author(s) -

Butera Gianfranco,

Mansour Nizar Ben,

De Marco Federico

Publication year - 2019

Publication title -

catheterization and cardiovascular interventions

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.988

H-Index - 116

eISSN - 1522-726X

pISSN - 1522-1946

DOI - 10.1002/ccd.27796

Subject(s) - medicine , cardiology , angioplasty , percutaneous coronary intervention , pulmonary hypertension , dilated cardiomyopathy , pulmonary artery , left coronary artery , catheter , artery , bypass grafting , occlusion , surgery , heart failure , myocardial infarction

Here, we report on the case of a 4‐year‐old child with large atrial septal defect (ASD) and severe pulmonary hypertension presenting an ischemic cardiomyopathy secondary to left main (LM) compression by a dilated pulmonary artery trunk. Despite of surgical treatment consisting in ASD closure and coronary artery bypass grafting, the patient was not weanable from ECMO. Control coronarography showed a near‐occlusion of the left mammary bypass. A rescue percutaneous LM angioplasty with drug‐eluting stent implantation was performed.

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