Key result
PCI achieves successful revascularization in acute circumflex occlusion with congenitally corrected transposition of the great arteries.
Why the study?
As life expectancy increases in congenital heart disease, coronary artery disease and acute coronary syndromes are encountered more frequently with higher complexity in the acute setting, posing diagnostic and PCI challenges.
Case Report (n=1)
This case report outlines the diagnostic and procedural steps required for successful PCI in a patient with congenitally corrected transposition of the great arteries presenting with acute left circumflex coronary artery occlusion.
As life expectancy in patients with congenital heart disease continues to increase, coronary artery disease and acute coronary syndromes are encountered more and more in this population, with a higher level of complexity, especially in the acute setting. We present a case of acute thrombotic occlusion of the left circumflex coronary artery in a patient with congenitally corrected transposition of the great arteries. This case highlights several challenges from ECG and computed tomography interpretation to coronary angiography and PCI performance. Key pre-procedural and procedural steps are revised to guide toward prompt and successful revascularization.
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Giangiacomi et al. (2026) conducted a case report in Acute thrombotic occlusion of the left circumflex coronary artery in congenitally corrected transposition of the great arteries (n=1). Percutaneous coronary intervention (PCI) was evaluated on Prompt and successful revascularization. Percutaneous coronary intervention achieved successful revascularization in 1 patient with congenitally corrected transposition of the great arteries and acute left circumflex occlusion.
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