Percutaneous coronary intervention in four month old infant for acute myocardial ischemia after repaired ALCAPA

Percutaneous Coronary Intervention in infant for Graft Stenosis of a Reimplanted Left Main Coronary Artery

  • Mirsad Kacila Specialized Hospital “Heart Center”, Sarajevo, Bosnia and Herzegovina
  • Mirza Halimic Specialized Hospital “Heart Center”, Sarajevo, Bosnia and Herzegovina
  • Merjema Karavdic Specialized Hospital “Heart Center”, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0003-2057-8240
  • Almira Kadic Specialized Hospital “Heart Center”, Sarajevo, Bosnia and Herzegovina https://orcid.org/0000-0001-7508-4219
  • Sasa Lukic Specialized Hospital “Heart Center”, Sarajevo, Bosnia and Herzegovina
  • Sanko Pandur Specialized Hospital “Heart Center”, Sarajevo, Bosnia and Herzegovina
  • Nusreta Hadzimuratovic Specialized Hospital “Heart Center”, Sarajevo, Bosnia and Herzegovina
Keywords: Anomalous origin, left coronary artery, pulmonary artery, percutaneous coronary intervention, infant, heart failure, treatment, ALCAPA

Abstract

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.

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Published
2019-10-01
How to Cite
Kacila, M., Halimic, M., Karavdic, M., Kadic, A., Lukic, S., Pandur, S., & Hadzimuratovic, N. (2019). Percutaneous coronary intervention in four month old infant for acute myocardial ischemia after repaired ALCAPA: Percutaneous Coronary Intervention in infant for Graft Stenosis of a Reimplanted Left Main Coronary Artery. Journal of Health Sciences. https://doi.org/10.17532/jhsci.2019.871
Section
Case reports