Fatal Asymptomatic Myocardial Infarction Following Stroke in a Fontan Adolescent: A Case of Occult Blastomycosis Infection.

ABSTRACT: Myocardial infarction from coronary ischemia in pediatric patients with Fontan circulation is a rare diagnosis with scarce data reported on it. We describe a case of a teenage male who initially presented with an acute occlusive right middle cerebral artery (MCA) stroke with a history of nonadherence to aspirin. He underwent a thrombectomy shortly after presentation and was not restarted on anticoagulation due to hemorrhagic transformation of the stroke postprocedure. He had no residual neurologic deficits. On the sixth day of his admission and without prior symptoms, he had a sudden cardiac arrest with pulseless electrical activity (PEA). After 80 min of resuscitation, including an unsuccessful attempt to cannulate for extracorporeal membrane oxygenation (ECMO), he was pronounced dead. On

SUBMITTER: El Mikati HK 

PROVIDER: S-EPMC12677984 | biostudies-literature | 2025

REPOSITORIES: biostudies-literature