Related Experiment Video

Updated: May 4, 2026

Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA
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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery ALCAPA

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Percutaneous Coronary Intervention of Left Main Chronic Total Occlusion in Pediatric Patients

Andrea Virginia Monastyrski1, Bernat Serra Creus1, Pedro Betrián Blasco2

  • 1Department of Interventional Cardiology, Vall d'Hebron Hospital, Barcelona, Spain.

JACC. Case Reports
|January 31, 2025
PubMed

Insights

Successful percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) of the left main coronary artery (LMCA) in children is rare. This study presents two successful pediatric PCI cases for LMCA CTO, offering valuable insights.

Area of Science:

  • Cardiology
  • Pediatric Interventional Cardiology

Background:

  • Percutaneous coronary intervention (PCI) for chronic total occlusion (CTO) of the left main coronary artery (LMCA) in pediatric patients is exceptionally uncommon.
  • Limited evidence exists regarding the efficacy and safety of PCI for LMCA CTO in this population.
  • The pathophysiology of LMCA CTO in children differs significantly from adults, presenting unique diagnostic and therapeutic challenges.

Keywords:
aorto-ostial occlusionchronic total occlusionleft main atresianonatherosclerotic occlusionretrograde approach

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