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Updated: Dec 20, 2025

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Published on: May 2, 2025
Coronary artery embolism in a patient with Fontan palliation: a rare complication
Amrit Misra1, Marjorie Gayanilo1, Pooja Gupta1
1Carman and Ann Adams Department of Pediatrics, Division of Pediatric Cardiology, Wayne State University School of Medicine, Children's Hospital of Michigan, Detroit, MI, USA.
Abstract:
Coronary artery embolism is extremely rare in children with Fontan palliation. We report a 10-year-old boy with hypoplastic left heart syndrome post-Fontan procedure who presented with acute onset chest pain and ST-segment changes on electrocardiogram. Cardiac catheterisation revealed coronary artery emboli requiring stent placement. Our case highlights the importance of evaluating chest pain in a systematic manner in Fontan patients as acute coronary artery embolism can be a part of the spectrum of well-known thromboembolic complications.
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