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Case Reports
. 2023 Mar-Apr;16(2):141-143.
doi: 10.4103/apc.apc_134_22. Epub 2023 Aug 16.

Acute ST-elevation myocardial infarction with Guillain-Barre syndrome in Fontan circulation

Rohit Sunil Walse  1 , Bhagwati Pant  1 , Arun Gopalakrishnan  1 , Bijulal Sasidharan  1
Affiliations
Case Reports

Acute ST-elevation myocardial infarction with Guillain-Barre syndrome in Fontan circulation

Rohit Sunil Walse et al. Ann Pediatr Cardiol. 2023 Mar-Apr.

Abstract

Total cavopulmonary connection, commonly referred to as the Fontan procedure, is the established destination therapy for univentricular hearts. While the procedure permits a longer survival of these patients, this circulation involves several compromises from normal human circulation and poses several challenges with increasing age after surgery. We present an instance of acute ST-elevation myocardial infarction with Guillain-Barre syndrome in an adult after Fontan palliation and discuss the challenges in management.

Keywords: Adult congenital heart disease; grown up with congenital heart disease; percutaneous coronary intervention; total cavopulmonary connection.

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Conflict of interest statement

There are no conflicts of interest.

Figures

Figure 1
Figure 1
Upper panel shows monitor electrocardiographic trace with ventricular fibrillation; lower panel shows 12-lead electrocardiogram with ST-segment elevation in I, augmented vector left and reciprocal ST-segment depression in II, III, augmented vector foot (aVF), V2-V6
Figure 2
Figure 2
(a) Left coronary angiogram showing thrombotic occlusion of the left anterior descending artery. (b) Thrombectomy with export catheter. (c) Large aspirated thrombus. (d) Final angiogram showing complete recanalization of the left anterior descending artery
See this image and copyright information in PMC

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