Korean J Intern Med.  2005 Jun;20(2):187-190. 10.3904/kjim.2005.20.2.187.

Percutaneous Transluminal Coronary Angioplasty for Coronary Artery Stenosis in a Young Patient with Long Term Kawasaki Disease

• Hong SI
• Kim PJ
• Seung KB
• Kwon JH
• Beak JY
• Yeo CD
• Choi KB

• KMID: 1718046
• DOI: http://doi.org/10.3904/kjim.2005.20.2.187

Abstract

Kawasaki Disease (KD) is an acute, febrile, multisystem disease of children. More severe complications in 15~25% of cases include, the development of coronary aneurysms, ischemic heart disease, and sudden cardiac death. The standard treatment for significant coronary artery stenosis has generally been aortocoronary bypass surgery, although percutaneous transluminal coronary angioplasty (PTCA) has been described in a small number of patients. This report describes a 14 year old boy with a history of KD who developed multiple coronary aneurysms and stenosis. We performed PTCA, which was successful in relieving the stenosis of the left circumflex artery.

Keyword

Mucocutaneous lymph node syndrome (Kawasaki Disease) ; Percutaneous transluminal coronary angioplasty (PTCA)

MeSH Terms

Adolescent
*Angioplasty, Transluminal, Percutaneous Coronary
Coronary Aneurysm/diagnosis/etiology/therapy
Coronary Angiography
Coronary Stenosis/diagnosis/etiology/*therapy
Coronary Vessels/ultrasonography
Endosonography
Follow-Up Studies
Humans
Male
Mucocutaneous Lymph Node Syndrome/*complications/diagnosis