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Myocardial infarction due to thrombosis of native aorta late after Fontan procedure for hypoplastic left heart syndrome


Pediatric Cardiac Critical Care/Cardiology, Nicklaus Children's Hospital, Miami, FL, USA

Correspondence Address:
Dr. Bhavi Patel
Department of Pediatric Cardiac Critical Care and Cardiology, Nicklaus Children's Hospital, 3100 S. W. 62nd Avenue, Miami, FL 33155
USA
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_103_20

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Year : 2021  |  Volume : 14  |  Issue : 1  |  Page : 72-74

 

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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.






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Pediatric Cardiac Critical Care/Cardiology, Nicklaus Children's Hospital, Miami, FL, USA

Correspondence Address:
Dr. Bhavi Patel
Department of Pediatric Cardiac Critical Care and Cardiology, Nicklaus Children's Hospital, 3100 S. W. 62nd Avenue, Miami, FL 33155
USA
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_103_20

Rights and Permissions

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.






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