Abstract
BackgroundAlthough acute coronary syndrome is rare in children, it is the most important cause of mortality in children with end-stage renal disease.Case presentationHere, a 16-year-old pediatric patient, who has been on dialysis since the age of 3, and who was diagnosed with acute coronary syndrome and placed an emergency percutaneous transcatheter stent in the left anterior descending branch of the left coronary artery is presented. It is important that the present patient does not have any electrocardiography findings in favor of cardiovascular disease and that he cannot fully explain the complaint of chest pain due to his mental retardation.ConclusionsEarly detection of acute coronary syndrome is life-saving, especially in children with chronic kidney disease.
Highlights
BackgroundCardiac causes and myocardial ischemia are rarely detected in children admitted to the hospital with chest pain compared to adults
Acute coronary syndrome is rare in children, it is the most important cause of mortality in children with end-stage renal disease
Cardiac causes and myocardial ischemia are rarely detected in children admitted to the hospital with chest pain compared to adults
Summary
Cardiac causes and myocardial ischemia are rarely detected in children admitted to the hospital with chest pain compared to adults. Chest CT obtained during the period when he was followed up for lung infection 1 year ago, the persistence of calcified thrombus in the SVC and newly emerging widespread atherosclerotic calcifications in the left anterior descending (LAD) coronary arteries were detected (Fig. 2). In addition to these complications, the patient had osteitis fibrosa cystica, known as brown tumors (proven by bone biopsy), due to renal osteodystrophy.
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