A Rare Case of Coronary Artery Embolism in a Patient with d-Transposition of the Great Arteries with Prior Mustard Repair

被引：1

作者：

Sethi, Prince ^{[1
]}

Bhatnagar, Udit ^{[2
]}

Steffen, Kelly ^{[2
]}

Bendaly, Edgard ^{[3
]}

Stys, Adam ^{[2
]}

机构：

[1] Univ South Dakota, Cardiol Internal Med, Sanford Sch Med, Vermillion, SD 57069 USA

[2] Univ South Dakota, Sanford Cardiovasc Inst, Sanford Sch Med, Sanford Usd Med Ctr, Vermillion, SD 57069 USA

[3] Univ South Dakota, Pediat Cardiol, Sanford Sch Med, Sanford Usd Med Ctr, Vermillion, SD 57069 USA

来源：

CUREUS | 2018年 / 10卷 / 02期

关键词：

transposition of the great arteries; mustard repair; atrial fibrillation;

D O I：

10.7759/cureus.2183

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

The dextro-transposition of great arteries (d-TGA) is a rare, congenital, cyanotic heart disease and there is a paucity of data regarding long-term cardiovascular outcomes. We present a rare case of non-ST-elevation myocardial infarction (NSTEMI) in a patient with surgically repaired d-TGA. A 43-year-old male who had previously undergone a Mustard atrial switch palliative procedure presented with chest pain and diaphoresis and was diagnosed with NSTEMI. A coronary angiogram revealed a small, underdeveloped, left anterior descending and a large, left circumflex coronary artery with an acute embolic lesion. The embolic lesion was secondary to atrial fibrillation and was successfully treated with aspiration thrombectomy. This case highlights the variations in coronary anatomy in surgically repaired d-TGA and the importance of recognizing the potential for long-term complications in these cases.

引用

页数：8