Hostname: page-component-8448b6f56d-cfpbc Total loading time: 0 Render date: 2024-04-23T12:48:42.010Z Has data issue: false hasContentIssue false

A child case of Kawasaki with giant coronary aneurysm: percutaneous coronary intervention due to anterior myocardial infarction

Published online by Cambridge University Press:  20 August 2021

Mehmet Türe*
Affiliation:
Department of Pediatric Cardiology, Dicle University Hospital, Diyarbakır, Turkey
Alper Akın
Affiliation:
Department of Pediatric Cardiology, Dicle University Hospital, Diyarbakır, Turkey
Faruk Ertaş
Affiliation:
Department of Cardiology, Dicle University Hospital, Diyarbakır, Turkey
Aylin Akın Oğuz
Affiliation:
Department of Pediatric, Dicle University Hospital, Diyarbakır, Turkey
*
Author for correspondence: Mehmet Türe, MD, Pediatric Cardiologist, Department of Pediatric Cardiology, Dicle University Hospital, Diyarbakır, Turkey. Tel: +90 412 2488001. E-mail: drture21@gmail.com

Abstract

Kawasaki disease is usually self-limited, but it can lead to aneurysm, stenosis, thrombosis, and myocardial infarction in the coronary arteries. The most important complication of Kawasaki disease is coronary artery aneurysm. Coronary artery aneurysm or ectasia may be seen in 15–25% of patients who do not receive treatment. It develops in 5% of children who receive intravenous immunoglobulin at the appropriate time. Acute myocardial infarction is the most important cause of morbidity and mortality in Kawasaki patients with giant aneurysms. We present a 10-year-old girl who had a history of giant aneurysm in the coronary arteries and underwent percutaneous coronary intervention due to anterior myocardial infarction.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

Kato, H, Sugimura, T, Akagi, T, et al. Long-term consequences of Kawasaki disease. A 10- to 21-year follow-up study of 594 patients. Circulation 1996; 94: 13791385.CrossRefGoogle ScholarPubMed
McCrindle, BW, Rowley, AH, Newburger, JW, et al. Diagnosis, treatment, and long-term management of Kkawasaki disease: a scientific statement for health professionals from the Aamerican Hheart Aassociation. Circulation 2017; 135: e927–999.CrossRefGoogle Scholar
Tsuda, E, Hamaoka, K, Suzuki, H, et al. A survey of the 3-decade outcome for patients with giant aneurysms caused by Kkawasaki disease. Am Heart J 2014; 167: 249258.CrossRefGoogle Scholar
Markis, JE, Joffe, CD, Cohn, PF, Feen, DJ, Herman, MV, Gorlin, R. Clinical significance of coronary arterial ectasia. Am J Cardiol 1976; 37: 217222.CrossRefGoogle ScholarPubMed
Newburger, JW, Takahashi, M, Gerber, MA, et al. Diagnosis, treatment, and long-term management of kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young. Pediatrics 2004; 114: 17081733.CrossRefGoogle Scholar
Muta, H, Ishii, M. Percutaneous coronary intervention versus coronary artery bypass grafting for stenotic lesions after Kawasaki disease. J Pediatr 2010; 157: 120126.CrossRefGoogle ScholarPubMed
Mason, WH, Takahashi, M, Kawasakisyndrome. ClinInfectDis 1999; 28: 169187.Google Scholar
Ishii, M, Ueno, T, Akagi, T, et al. Kawasaki hastalığında koroner arter lezyonunda kateter müdahalesi için kılavuzlar. Pediatr. Int 2001; 43: 558562.CrossRefGoogle Scholar
Maurizio Mongiovì, MD, Annalisa Alaimo, MD, Federica Vernuccio, MD, et al. Primary percutaneous coronary intervention for acute myocardial infarction in a pediatric patient with giant coronary aneurysm due to kawasaki disease. Congenit Heart Dis 2014; 9: E16E8.CrossRefGoogle Scholar