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A Rare but Real Necessity: Case Report of Coronary Artery Stenting in an Infant

José D Martins1, Guilherme Lourenço1, Lídia Sousa2

  • 1Pediatric Cardiology Department, Hospital de Santa Marta, Centro Hospitalar de Lisboa Central EPE, Lisbon, Portugal.

Case Reports in Cardiology
|March 4, 2022
PubMed

Insights

Successful pediatric percutaneous coronary intervention (PCI) is rare. This case demonstrates successful left main coronary artery stenting in an infant, highlighting technical challenges and collaborative care.

Area of Science:

  • Pediatric Cardiology
  • Interventional Cardiology
  • Congenital Heart Disease

Background:

  • Percutaneous coronary intervention (PCI) is a standard adult procedure.
  • PCI in pediatric populations, especially infants, is uncommon.
  • Congenital coronary artery anomalies present unique challenges.

Observation:

  • A case of a small infant with a congenital coronary artery anomaly requiring intervention.
  • The patient presented with a condition necessitating left main coronary artery stenting.
  • The procedure involved significant technical difficulties due to the patient's small size.

Findings:

  • Successful left main coronary artery stenting was achieved in a pediatric patient.
  • The study highlights the feasibility of complex PCI in infants.
  • Effective antithrombotic prophylaxis strategies were considered for this age group.

Implications:

  • This case expands the understanding of pediatric interventional cardiology.
  • It underscores the importance of multidisciplinary collaboration between adult and pediatric specialists.
  • Successful PCI in infants with coronary anomalies offers new therapeutic possibilities.

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