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Stenting for left main coronary artery occlusion in adolescent: A case report

Jian-Jun Li1, Bo Xu, Ji-Lin Chen

  • 1Jian-Jun Li, Bo Xu, Ji-Lin Chen, Department of Cardiology, Fuwai Hospital, Chinese Academy of Medical Sciences, Peking Union Medical College, Beijing 100037, China.

World Journal of Cardiology
|December 17, 2010
PubMed

Insights

A rare case of congenital syphilis caused acute myocardial infarction in a 14-year-old boy. Timely thrombolytic therapy and angioplasty with stenting led to survival and recovery.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Infectious Diseases

Background:

  • Acute left main coronary artery (LMCA) occlusion is a critical condition with high mortality.
  • Survival hinges on collateral circulation and prompt intervention to preserve left ventricular function.

Purpose of the Study:

  • To report a unique case of LMCA subtotal occlusion and acute myocardial infarction in a pediatric patient.
  • To explore the potential link between congenital syphilis and coronary artery events in adolescents.

Main Methods:

  • Case presentation of a 14-year-old male with LMCA subtotal occlusion and acute myocardial infarction.
  • Diagnostic workup including serological tests for syphilis.
  • Interventional treatment involving thrombolytic therapy, angioplasty, and paclitaxel-eluting stent implantation.

Main Results:

  • The patient survived due to a dominant right coronary artery and rapid thrombolytic therapy.
  • Congenital syphilis was suspected as the etiology based on positive syphilis antibodies.
  • Successful angioplasty and stenting resulted in a favorable outcome at follow-up.

Conclusions:

  • Congenital syphilis may be an unusual cause of acute myocardial infarction and LMCA occlusion in pediatric patients.
  • Early recognition, collateral circulation, and timely interventional treatment are crucial for survival in such cases.

Keywords:
Acute myocardial infarctionAdolescentLeft main coronary arteryPaclitaxel-eluting stent

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