Premium
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.