Giant Coronary Aneurysm with Stenosis and Thrombus Formation due to Kawasaki Disease: Treatment with Graft Stent.
- Author:
Woo Jung KIM
1
;
Jong Geun SONG
;
Byung Won YOO
;
Yuria KIM
;
Jae Young CHOI
;
Jun Hee SUL
;
Sung Kyu LEE
Author Information
1. Division of Pediatric cardiology, Yonsei Cardiovascular Center, Cardiovascular Research Institute, Yonsei University College of Medicine, Seoul, Korea. cjy0122@yumc.yonsei.ac.kr
- Publication Type:Case Report
- Keywords:
Kawasaki disease;
Giant coronary aneurysm;
Graft stent
- MeSH:
Aneurysm;
Angioplasty, Balloon;
Child;
Constriction, Pathologic*;
Coronary Aneurysm*;
Coronary Artery Bypass;
Coronary Disease;
Coronary Stenosis;
Coronary Vessels;
Dilatation, Pathologic;
Humans;
Male;
Mucocutaneous Lymph Node Syndrome*;
Myocardial Infarction;
Stents*;
Systemic Vasculitis;
Thrombosis*;
Transplants*
- From:Journal of the Korean Pediatric Cardiology Society
2005;9(2):394-399
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Kawasaki disease is an acute systemic vasculitis of unknown origin. Coronary aneurysm or ectasia is one of the most serious complications of Kawasaki disease. The major complication of Kawasaki coronary disease is myocardial infarction caused by thrombus formation inside the aneurysm or by organic obstructive lesion following the regression of aneurysm. Percutaneous balloon angioplasty, rotational ablation, directional coronary artherectomy, stent insertion and coronary artery bypass graft can be used to treat coronary artery stenosis or occlusion. We describe a 6-year old boy who had an episode of Kawasaki disease with giant coronary artery aneurysm diagnosed at the age of 3 years. Surveillance echocardiogram showed giant coronary aneurysm with stenosis and large mural thrombus in the proximal portion of left main coronary artery. So we inserted two polytetrafluoroethylene(PTFE) covered graft stent without complication.
