Open AccessPercutaneous coronary intervention in four month old infant for acute myocardial ischemia after repaired ALCAPA
Author(s) -
Mirsad Kacila,
Mirza Halimić,
Merjema Karavdic,
Aida Salihagić Kadić,
Saša Lukić,
Sanko Pandur,
Nusreta Hadzimuratovic
Publication year - 2019
Publication title -
journal of health sciences
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.112
H-Index - 3
eISSN - 2232-7576
pISSN - 1986-8049
DOI - 10.17532/jhsci.2019.871
Subject(s) - medicine , cardiology , left coronary artery , artery , coronary sinus , pulmonary artery , percutaneous coronary intervention , population , percutaneous , right coronary artery , coronary artery anomaly , myocardial infarction , coronary angiography , environmental health
Anomalous origin of the left coronary artery from the pulmonary artery (ALCAPA) is rare, but life-threatening condition. The treatment of choice in patients with ALCAPA is the establishment of a dual coronary artery system with surgical reimplantation of the left coronary artery in the left coronary sinus. Percutaneous coronary intervention is infrequent in the pediatric population but can be a life-saving by promptly restoring flow to an obstructed coronary artery. It is a highly demanding and high-risk procedure in infants due to the technical difficulties and the small coronary artery diameter in infants.