4.Percutaneous transluminal coronary angioplasty in a child with Kawasaki disease.
Jae Hong MIN ; June HUH ; Youn Woo KIM ; Ho Sung KIM ; Chung Il NOH ; Jung Yun CHOI ; Yong Soo YUN ; Myoung Mook LEE
Journal of Korean Medical Science 1998;13(6):693-695
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.
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
8.Recent Advances in Kawasaki Disease.
Yonsei Medical Journal 2016;57(1):15-21
Kawasaki disease (KD) is characterized with acute systemic vasculitis, occurs predominantly in children between 6 months to 5 years of age. Patients with this disease recover well and the disease is self-limited in most cases. Since it can lead to devastating cardiovascular complications, KD needs special attention. Recent reports show steady increases in the prevalence of KD in both Japan and Korea. However, specific pathogens have yet to be found. Recent advances in research on KD include searches for genetic susceptibility related to KD and research on immunopathogenesis based on innate and acquired immunity. Also, search for etiopathogenesis and treatment of KD has been actively sought after using animal models. In this paper, the recent progress of research on KD was discussed.
*Genetic Predisposition to Disease
;
Heart Diseases/*complications
;
Humans
;
Mucocutaneous Lymph Node Syndrome/*diagnosis/etiology/physiopathology/therapy