Successful Intervention for a Thrombosed Giant Coronary Artery Aneurysm in Multisystem Inflammatory Syndrome in Children

Timothy Stidham; James McKee; Joshua Vogt; Austine Kuder Siomos

doi:10.1016/j.jaccas.2022.05.031

Successful Intervention for a Thrombosed Giant Coronary Artery Aneurysm in Multisystem Inflammatory Syndrome in Children

JACC Case Rep. 2022 Aug 3;4(15):945-949. doi: 10.1016/j.jaccas.2022.05.031.

Authors

Timothy Stidham¹, James McKee², Joshua Vogt¹, Austine Kuder Siomos³

Affiliations

¹ Logan Health, Kalispell, Montana, USA.
² Northwest Imaging PC, Kalispell, Montana, USA.
³ Logan Health Heart & Lung, Kalispell, Montana, USA.

Abstract

We report the case of a 13-year-old who presented with an ST-segment elevation myocardial infarction caused by a thrombotic occlusion of an aneurysmal left anterior descending coronary artery. Our patient was diagnosed and treated for multisystem inflammatory syndrome in children and underwent successful balloon angioplasty and aspiration thrombectomy.(Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; ECG, electrocardiogram; LAD, left anterior descending coronary artery; MI, myocardial infarction; MIS-C, multisystem inflammatory syndrome in children; RCA, right coronary artery; STEMI, ST-segment elevation myocardial infarction; TIMI, Thrombolysis In Myocardial Infarction; acute heart failure; anticoagulation; antiplatelet; myocardial infarction; percutaneous coronary intervention; thrombosis.

Publication types

Case Reports