Hostname: page-component-78c5997874-m6dg7 Total loading time: 0 Render date: 2024-11-16T09:23:28.482Z Has data issue: false hasContentIssue false

Intraoperative rescue by placement of a stent following a surgical coronary arterial injury in a child

Published online by Cambridge University Press:  20 January 2005

Walter J. Duncan
Affiliation:
Division of Cardiology, Department of Pediatrics, University of British Columbia, Vancouver, Canada
Jacques G. LeBlanc
Affiliation:
Division of Cardiac Surgery, Department of Surgery, University of British Columbia, Vancouver, Canada
Derek G. Human
Affiliation:
Division of Cardiology, Department of Pediatrics, University of British Columbia, Vancouver, Canada

Abstract

An acute injury to a coronary artery was recognized during the surgical construction of the Fontan circulation. Surgical manipulation of the site of injury was not successful in restoring normal myocardial blood flow. A stent was therefore placed intraoperatively under direct vision, with restoration of normal coronary arterial flow acutely and at short-term follow-up.

Type
Brief Report
Copyright
© 2004 Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Sanatani S, Sett S, Human D, Culham G, Leblanc J. Extracardiac Fontan operation with tube fenestration allowing transcatheter coil occlusion. Ann Thorac Surg 1998; 66: 933934.Google Scholar
Akagi T, Ogawa S, Ino T, et al. Catheter interventional treatment in Kawasaki disease: a report from the Japanese Pediatric Interventional Cardiology Investigation group. J Pediatr 2000; 137: 181186.Google Scholar
Kwok OH, Landzberg MJ, Kinlay S, Marcus KC, Rogers C. Percutaneous coronary intervention and subsequent endovascular beta-radiation brachytherapy in a 14-year old with repaired anomalous left coronary artery from pulmonary artery. J Invasive Cardiol 2001; 13: 494500.Google Scholar
Moore JW, Buchbinder M. Successful coronary stenting in a 4-year old child. Cathet Cardiovasc Diagn 1998; 44: 202205.Google Scholar
Strobel GG, Trehan S, Compton S, Judd VE, Day RW, Etheridge SP. Successful pediatric stenting of a nonthrombotic coronary occlusion as a complication of radiofrequency catheter ablation. Pacing Clin Electrophysiol 2001; 24: 10261028.Google Scholar
Khanal S, Ribeiro PA, Platt M, Kuhn MA. Right coronary artery occlusion as a complication of accessory pathway ablation in a 12-year old treated with stenting. Catheter Cardiovasc Interv 1999; 46: 5961.Google Scholar