Successful Surgical Management of Late Coronary Sequelae in a Young Woman with Kawasaki Disease

Introduction

Kawasaki disease (KD) was first reported by Kawasaki in 1967. The classical clinical features include acute vasculitis, mucosal inflammation, rash, cervical adenopathy, swelling of the hands and feet, and late fingertip desquamation [1]. In Japan, KD is the leading cause of acquired heart disease in children, occurring only rarely in adults. Coronary artery sequelae are rare but may lead to cardiac failure and sudden death [[1], [2], [3]]. The natural history of KD is still a matter of debate, particularly with regard to the management of cardiac sequelae. Surgical revascularization in adult survivors of childhood KD has been rarely described. We report the case of a young woman with an acute coronary syndrome treated with CABG, 20 years after the acute phase of KD.

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