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Native aortic root thrombus leading to myocardial infarction in a single ventricle patient

Published online by Cambridge University Press:  16 May 2024

Rod M. Shinozaki*
Affiliation:
Department of Pediatrics Critical Care Medicine, Loma Linda University Children’s Hospital, Loma Linda, CA, USA
Mark C. Johnson
Affiliation:
Division of Pediatric Cardiology, Department of Pediatrics, Washington University School of Medicine, St. Louis. MI, USA
Avihu Z. Gazit
Affiliation:
Department of Pediatrics, Divisions of Critical Care Medicine and Cardiology, Washington University School of Medicine, St. Louis. MI, USA
*
Corresponding author: R. M. Shinozaki; Email: rshinozaki@llu.edu

Abstract

We report a 14-month-old male with hypoplastic left heart syndrome, mitral stenosis, and aortic stenosis with native aortic root thrombus. He developed a wide complex ventricular tachycardia and ST-segment elevation myocardial infarction with troponin I levels peaking at 388 ng/mL. He was treated safely with systemic alteplase with a resolution of his regional wall motion abnormality 18 hours later.

Type
Brief Report
Copyright
© The Author(s), 2024. Published by Cambridge University Press

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References

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