ABSTRACT
We report the case of a 9-year-old boy with tetralogy of Fallot who had undergone left modified Blalock Taussig shunt. The patient developed seroma around the shunt which was excised surgically. The patient developed total occlusion of the shunt post-operatively with clinical deterioration. We used emergency percutaneous angioplasty to successfully treat the patient.
Subject(s)
Angioplasty, Balloon, Coronary , Blood Vessel Prosthesis Implantation/adverse effects , Cardiac Surgical Procedures/adverse effects , Child , Graft Occlusion, Vascular/therapy , Humans , Male , Seroma/etiologyABSTRACT
Spontaneous coronary artery dissection is an uncommon clinical condition. It has most often been described in healthy peripartum women with no risk factors for atherosclerosis. We report the case of an elderly hypertensive man who presented with unstable angina and impaired left ventricular function. Coronary angiography revealed dissection of the left anterior descending as well as the circumflex arteries. This case supports the occurrence of spontaneous coronary dissection as a cause of acute coronary syndromes in patients with underlying atherosclerosis, which has rarely been reported.