Percutaneous transluminal coronary angioplasty in a child with Kawasaki disease.
10.3346/jkms.1998.13.6.693
- Author:
Jae Hong MIN
1
;
June HUH
;
Youn Woo KIM
;
Ho Sung KIM
;
Chung Il NOH
;
Jung Yun CHOI
;
Yong Soo YUN
;
Myoung Mook LEE
Author Information
1. Department of Pediatrics, Seoul National University College of Medicine, Korea.
- Publication Type:Case Report
- MeSH:
Angioplasty, Transluminal, Percutaneous Coronary*;
Case Report;
Child;
Coronary Disease/therapy*;
Coronary Disease/etiology;
Human;
Male;
Mucocutaneous Lymph Node Syndrome/therapy*;
Mucocutaneous Lymph Node Syndrome/complications
- From:Journal of Korean Medical Science
1998;13(6):693-695
- CountryRepublic of Korea
- Language:English
-
Abstract:
A successful attempt at percutaneous transluminanl coronary angioplasty (PTCA) to relieve stenosis of the mid-portion of the left anterior descending artery was achieved in a 6-year 9-month old boy who had multiple coronary aneurysms and stenosis due to Kawasaki disease. Despite the progression of coronary stenosis he had been well except for the perfusion defect of the anterior wall of myocardium on 99mTc-MIBI SPECT with dipyridamole infusion until PTCA was carried out after 4-year 4-months of the onset of illness. The area of stenosis was 70% before PTCA and 20% after PTCA. No restenosis at the site of PTCA was observed on follow-up angiography at 26 months after PTCA. This successful attempt may indicate that this procedure should be considered early in subclinical stenosis to prevent ischemic cardiac damage.
