Open AccessMyocardial infarction due to thrombosis of native aorta late after Fontan procedure for hypoplastic left heart syndrome
Author(s) -
Bhavi Patel,
Tacy Downing,
Lourdes Prieto,
Darline Santana-Acosta
Publication year - 2021
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_103_20
Subject(s) - medicine , hypoplastic left heart syndrome , thrombus , cardiology , myocardial infarction , ventricle , fontan procedure , thrombosis , aorta , aortic root , heart disease
Patients with single ventricle physiology who have undergone the Fontan procedure are at risk for long-term complications such as thrombus formation. Thrombus formation in the native aortic root (NAR) can be life-threatening if retrograde filling of the coronary arteries (CAs) is impaired. We present three cases of NAR thrombus with embolization to the CA, resulting in myocardial infarction. Thromboembolic events are well-documented complications of Fontan physiology, and optimal prevention and treatment strategies are poorly defined.