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Acute ST-elevation myocardial infarction with Guillain-Barre syndrome in Fontan circulation

Rohit Sunil Walse1, Bhagwati Pant1, Arun Gopalakrishnan1

  • 1Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India.

Annals of Pediatric Cardiology
|September 28, 2023
PubMed

Insights

The Fontan procedure improves survival for single ventricle hearts but presents long-term circulatory challenges. This case highlights managing myocardial infarction and Guillain-Barre syndrome post-Fontan surgery.

Area of Science:

  • Cardiovascular Surgery
  • Pediatric Cardiology
  • Neurology

Background:

  • Total cavopulmonary connection (Fontan procedure) is a palliative surgery for univentricular hearts.
  • Fontan circulation deviates from normal physiology, leading to age-related complications.

Observation:

  • A rare case of acute ST-elevation myocardial infarction (STEMI) occurred in an adult Fontan patient.
  • The patient also presented with Guillain-Barre syndrome concurrently.

Findings:

  • This presentation underscores the complex medical challenges in adult Fontan survivors.
  • Management of acute cardiac events and neurological complications requires specialized approaches.

Implications:

  • Highlights the need for vigilant long-term monitoring of Fontan patients.
  • Informs strategies for managing rare, co-occurring critical illnesses in this population.

Keywords:
Adult congenital heart diseasegrown up with congenital heart diseasepercutaneous coronary interventiontotal cavopulmonary connection

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