A case study of successful percutaneous coronary intervention in a young adult with chronic graft-versus-host disease with acute coronary syndrome

Author:

Bassi Sunakshi1,Gearhart Addison2,Liddle David2,B Shah Pinak3,Hartz Jacob1,Esch Jesse2

Affiliation:

1. Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA

2. Department of Pediatrics, Harvard Medical School, Boston, MA 02115, USA,Department of Cardiology, Boston Children’s Hospital, Boston, MA 02115, USA

3. Department of Cardiology, Brigham and Women’s Hospital, Boston, MA 02115, USA

Abstract

Introduction: Acute coronary syndrome in pediatric patients with graft-versus-host disease is rare. Case Report: We present an 18-year-old male with graft-versus-host disease referred for chest pain, electrocardiogram abnormalities, and troponin leak. Additional risk factors for acute coronary syndrome included chronic steroid use, elevated triglyceride/low-density lipoprotein (LDL) levels and cannabis use. A catheterization revealed >90% occlusion of the left coronary artery and he underwent successful percutaneous intervention. Conclusion: Given the overall rarity of acute coronary syndrome in pediatric patients, it may go unrecognized and underappreciated as a significant cause of morbidity in those with graft-versus-host disease.

Publisher

Edorium Journals Pvt. Ltd.

Subject

Geriatrics and Gerontology

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