Successful percutaneous transluminal coronary angioplasty for acute myocardial infarction in a 12-year-old boy with fibromuscular dysplasia: a case report

2014 ◽  
Vol 25 (1) ◽  
pp. 177-180
Author(s):  
Ming-Chih Lin ◽  
Wen-Lieng Lee ◽  
Yun-Ching Fu
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Case Report ◽  
Coronary Artery ◽  
Fibromuscular Dysplasia ◽  
Coronary Intervention ◽  
Percutaneous Transluminal Coronary Angioplasty ◽  
Total Occlusion ◽  
Transluminal Coronary Angioplasty ◽  
Percutaneous Transluminal

AbstractAcute myocardial infarction is rarely reported in children. Most of the cases are secondary to congenital anomalies or Kawasaki disease. Coronary artery total occlusion caused by fibromuscular dysplasia has never been reported in young children. Here we report a case of a 12-year-old boy with fibromuscular dysplasia, who underwent successful coronary intervention for acute myocardial infarction.

scholarly journals Percutaneous Transluminal Angioscopy During Coronary Intervention

2000 ◽  
Vol 7 (1) ◽  
pp. 15-20 ◽  
Author(s):  
Kyoichi Mizuno ◽  
Shunnta Sakai ◽  
Shinnya Yokoyama ◽  
Takayoshi Ohba ◽  
Ryuta Uemura ◽  
...  
Keyword(s):  
Myocardial Infarction ◽  
Acute Myocardial Infarction ◽  
Coronary Angioplasty ◽  
Intervention Strategy ◽  
Coronary Intervention ◽  
Percutaneous Transluminal Coronary Angioplasty ◽  
Vessel Lumen ◽  
Coronary Angioscopy ◽  
Transluminal Coronary Angioplasty ◽  
Percutaneous Transluminal

To investigate the feasibility of angioscopic-guided percutaneous transluminal coronary angioplasty and to elucidate the mechanism of efficacy of coronary stenting for acute myocardial infarction, we performed coronary angioscopy in 102 patients with stable angina or acute myocardial infarction. Thrombi and intimal flaps were observed in most patients after coronary angioplasty. Large intimal splits were seen in one third of patients. Stents were inserted in 10 patients who were revealed to have a large flap or protruding split to the inner lumen. Thrombolytic agents were administered in 2 patients with large thrombi. Additional treatments were required in 32% of patients. No acute myocardial infarction or unstable angina occurred in patients during hospitalization. Thus, angioscopy of the coronary lumen enables clinicians to determine the most appropriate and least risky coronary intervention strategy. In patients with acute myocardial infarction, angioscopy revealed occlusive or protruding thrombi in 34 of 35 patients. The protruding thrombi disappeared after stenting. The frequency of large intimal flaps increased after predilatation with balloon, but these disappeared after stenting. The present angioscopic study demonstrates that the coronary stent compresses the occlusive or protruding thrombi and covers the ruptured thrombogenic plaque Consequently, smooth-surfaced and wide vessel lumen are obtained.

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