Korean Circ J.  2000 Oct;30(10):1300-1306. 10.4070/kcj.2000.30.10.1300.

Coronary Stenting in 15year-old boy with Coronary Artery Stenosis Secondary to Kawasaki Disease

• Kim BK
• Lee BK
• Choi D
• Shim DK

• KMID: 1938418
• DOI: http://doi.org/10.4070/kcj.2000.30.10.1300

Abstract

Kawasaki disease is an acute febrile illness frequently developed in infants and children. This disease may involve coronary arteries in 15- 25% of the patients and may progress to coronary aneurysms, ischemic cardiac diseases, and sudden cardiac death. Recently we experienced successful balloon angioplasty followed by coronary stenting in a 15-year old boy with unstable angina and severe coronary arterial occlusive disease secondary to Kawasaki disease. He was diagnosed as unstable angina by 24 hours Holter monitoring, treadmill exercise stress test, echocardiography, and Dipyridamole 99mTc-sestamibi scan. And coronary angiogram revealed severe multiple stenosis and aneurysmal changes due to Kawasaki disease. We successfully performed a percutaneous transluminal coronary angioplasty with stent implantation at left circumflex arterial occlusive lesion.

MeSH Terms

Adolescent
Aneurysm
Angina, Unstable
Angioplasty, Balloon
Angioplasty, Balloon, Coronary
Arterial Occlusive Diseases
Child
Constriction, Pathologic
Coronary Aneurysm
Coronary Stenosis*
Coronary Vessels*
Death, Sudden, Cardiac
Dipyridamole
Echocardiography
Electrocardiography, Ambulatory
Exercise Test
Heart Diseases
Humans
Infant
Male*
Mucocutaneous Lymph Node Syndrome*
Stents*
Technetium Tc 99m Sestamibi
Dipyridamole
Technetium Tc 99m Sestamibi