Cangrelor use in a 6-year-old patient undergoing complex percutaneous coronary intervention after post-surgical myocardial infarction

Autor: Domenico Sirico, Nuccia Morici, Francesco Soriano, Stefano Maria Marianeschi, Giovanna Pedrazzini, Sergio Leonardi, Gabriele Vignati
Jazyk: angličtina
Rok vydání: 2020
Předmět:
Zdroj: Platelets, Vol 31, Iss 8, Pp 1090-1093 (2020)
Druh dokumentu: article
ISSN: 0953-7104
1369-1635
09537104
DOI: 10.1080/09537104.2020.1732323
Popis: Cangrelor is an intravenously administered P2Y12 receptor antagonist, which has been approved for adult patients undergoing percutaneous coronary intervention and, due to its unique pharmacokinetics, it allows effective and controllable peri-procedural platelet inhibition. We report the case of a 6-year-old child with anomalous origin of right coronary artery from aortic left coronary sinus, who underwent elective surgical replacement of stenotic and calcified conduit between the right ventricle and the main pulmonary artery. The surgery was complicated by acute myocardial infarction secondary to coronary extrinsic compression. The patient was successfully treated with urgent percutaneous coronary intervention (simultaneous V-stenting) and cangrelor infusion, subsequently switched to clopidogrel therapy.
Databáze: Directory of Open Access Journals
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