Key result
Aspiration thrombectomy resolves acute coronary embolism in a repaired d-TGA patient presenting with NSTEMI.
Why the study?
There is a paucity of data regarding long-term cardiovascular outcomes in patients with surgically repaired dextro-transposition of great arteries (d-TGA).
Case Report (n=1)
This case highlights the variations in coronary anatomy in surgically repaired d-TGA and the potential for long-term complications such as coronary embolism secondary to atrial fibrillation.
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.
No takes yet. Share an insight, caveat, or question.
Sethi et al. (2018) conducted a case report in d-Transposition of the Great Arteries (d-TGA) with prior Mustard repair presenting with NSTEMI (n=1). Aspiration thrombectomy was evaluated on Clinical and angiographic resolution of coronary embolism.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: