Case Report

Percutaneous Coronary Intervention in an 8-Month-Old Infant for Ostial Stenosis of a Reimplanted Left Main Coronary Artery

Table 1

Prior reported cases of PCI in infants with ALCAPA.

StudyPatient ageEtiology of coronary obstructionLocation of coronary obstructionCatheter usedWire usedBalloon usedStent usedAntiplatelet therapyFollow-up interval and modality

Chrysant 20053 monthsTissue flap from surgical anastomotic site70% mid LMCA3.0 × 10 mm Maverick2.25 × 8 mm Sonic HepacoatAspirin (1/4 tablet)Echo at 2 and 6 months, CTA at 6 months
Hallbergson 20155 weeksStenosis one month postoperativelyNear-total occlusion of LMCA4 Fr Judkins right coronary0.014 intermediate support2.5 × 8 mm MiniVisionAspirin 2-4 mg/kg/day and clopidogrel 0.2-0.4 mg/kg/dayAngiography at 3 months
Kaichi 20119 monthsStenosis one month postoperativelySevere stenosis of LMCA4.2 Fr Judkins left, 15 mm6 Fr internal mammary artery guiding, 0.014 ACS Hi-Torque balance middle weight2.5-20 mm over the wire Maverick PTCA for predilation, 3.5–12 mm monorail system Quantum Maverick PTCA for postdilationSirolimus-eluting CypherAspirin 2 mg/kg/day for life, ticlopidine 4-5 mg/kg/day × 6 monthsAngiography at 4, 12, and 67 months
Paech 20156 monthsStenosis 29 days postoperatively90% LMCA4 Fr left coronary, 1.5 modified supertorque0.014 coronary guideMaverick Bloomington × 12 mmPrometheus AL 3.0 × 8 mmAcetylsalicylic acid and clopidogrel followed by acetylsalicylic acid only after platelet function testingAngiography at 10 days and 3 and 8 months