Surgical treatment of coronary artery lesions caused by Kawasaki disease
10.3760/cma.j.cn101070-20201020-01639
- VernacularTitle:川崎病冠状动脉病变的手术治疗
- Author:
Qing CUI
;
Jie SHEN
- From:
Chinese Journal of Applied Clinical Pediatrics
2021;36(10):789-793
- CountryChina
- Language:Chinese
-
Abstract:
Kawasaki disease is an acute self-limiting systemic vasculitis syndrome and usually occurs in children.The small and medium arteries of the whole body are mainly invaded, and marked with coronary arteries.Coronary artery dilation and aneurysm formation mainly occur in the early period.Thrombi, intimal hyperplasia, and calcification could be formed during the later period.Consequently, sometimes, it develops intochronicischemic cardiopathy or myocardial infarction.In that, Kawasaki disease has become the leading cause of acquired heart disease for children in developed countries.Presently, the treatment of coronary artery lesions caused by Kawasaki disease includes drug therapy, and interventional and surgical treatment.However, medications usually fail to solve severe coronary conditions, and only interventional and surgical treatment can we choose.Therefore, the development and indications of interventional and surgical treatment of coronary artery lesions caused by Kawasaki disease were reviewed in this article.