Treatment of unprotected left main coronary artery stenosis in a 5-year-old heart transplant patient using a sirolimus-eluting stent

J Heart Lung Transplant. 2007 Oct;26(10):1061-4. doi: 10.1016/j.healun.2007.07.020.

Abstract

Cardiac allograft vasculopathy is the most common cause of long-term graft failure in adult and pediatric heart transplant recipients. In the absence of a specific treatment for this condition, percutaneous revascularization has been the main palliative treatment in the adult population. Revascularization of pediatric patients, however, is more problematic secondary to the lack of a large pool of outcome data and the encounter of special technical challenges. We present the case of a 5-year-old girl who presented with severe cardiac allograft vasculopathy of her left main coronary artery and was treated with sirolimus stent placement.

Publication types

  • Case Reports

MeSH terms

  • Child, Preschool
  • Coronary Angiography
  • Coronary Stenosis / diagnostic imaging
  • Coronary Stenosis / etiology*
  • Coronary Stenosis / therapy*
  • Drug Delivery Systems*
  • Female
  • Heart Transplantation / adverse effects*
  • Humans
  • Sirolimus / administration & dosage*
  • Stents*
  • Treatment Outcome

Substances

  • Sirolimus