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DOI: 10.1055/s-2006-923807
© Georg Thieme Verlag KG Stuttgart · New York
Revascularisation of a Giant Coronary Artery Aneurysm in Suspected Incomplete Kawasaki-Disease
Publication History
Received October 19, 2005
Publication Date:
10 August 2006 (online)
![](https://www.thieme-connect.de/media/thoracic/200605/lookinside/thumbnails/10.1055-s-2006-923807-1.jpg)
Abstract
Kawasaki disease leads to typical vascular complications in up to 20 % of untreated cases. We describe a 47-year-old patient with coronary vessel disease, involving the right coronary artery with a huge aneurysmatic dilatation, suspicious for an incomplete form of Kawasaki disease. We found little information about the surgical treatment and postoperative course of this disease in adults. Typically, these infrequent patients present with acute myocardial infarction and require interdisciplinary decision-making.
Key words
Coronary bypass surgery - Kawasaki disease - giant aneurysm - coronary artery aneurysm - myocardial infarction
References
- 1 Dajani A S, Taubert K A, Gerber M A. et al . Diagnosis and therapy of Kawasaki disease in children. Circulation. 1993; 87 1776-1780
- 2 Rowley A H, Shulman S T. Kawasaki syndrome. Clin Microbiol Rev. 1998; 11 405-411
- 3 Scientific Statement A HA. Diagnostic guidelines for Kawasaki disease. Circulation. 2001; 103 335-336
- 4 Witt M T, Minich L L, Bohnsack J F, Young P C. Kawasaki disease: more patients are being diagnosed who do not meet American Heart Association Criteria. Ped. 1999; 104 1-5
- 5 Han R K, Sinclair B, Newman A. et al . Recognition and management of Kawasaki disease. CMJA. 2000; 162 807-812
- 6 Kitamura S, Kameda Y, Seki T. et al . Long-term outcome of myocardial revascularisation in patients with Kawasaki coronary artery disease. J Thorac Cardiovasc Surg. 1994; 107 663-673
- 7 Suda Y, Takeuchi Y, Ban T, Ichikawa S, Higashita R. Twenty-two year follow-up of saphenous vein grafts in pediatric Kawasaki disease. Ann Thorac Surg. 2000; 70 1706-1708
- 8 Fulton D R, Newburger J W. Long-term cardiac sequelae of Kawasaki disease. Curr Rheumatol Rep. 2000; 2 324-332
Dr. med. Guenter Reinerth
Klinik und Poliklinik für Herz-, Thorax- und Gefäßchirurgie
Universität Mainz
Langenbeckstraße 1
55131 Mainz
Germany
Phone: + 496131173208
Fax: + 49 61 31 17 36 26
Email: guenter.reinerth@arcor.de