Coronary artery embolism in a patient with Fontan palliation: a rare complication

Misra A, Gayanilo M, Gupta P.Cardiol Young. 2020 May 29:1-3. doi: 10.1017/S1047951120001274. Online ahead of print.PMID: 32468979



Coronary artery embolism is extremely rare in children with Fontan palliation. We report a 10-year-old boy with hypoplastic left heart syndrome post-Fontan procedure who presented with acute onset chest pain and ST-segment changes on electrocardiogram. Cardiac catheterisation revealed coronary artery emboli requiring stent placement. Our case highlights the importance of evaluating chest pain in a systematic manner in Fontan patients as acute coronary artery embolism can be a part of the spectrum of well-known thromboembolic complications.