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Coronary artery bypass grafting in adolescent with myocardial infarction complicating undiagnosed Kawasaki disease

Published online by Cambridge University Press:  01 December 2023

Dolunay Gürses
Affiliation:
Department of Pediatric Cardiology, Pamukkale University Faculty of Medicine, Denizli, Turkey
Münevver Yılmaz
Affiliation:
Department of Pediatric Cardiology, Pamukkale University Faculty of Medicine, Denizli, Turkey
Merve Oğuz*
Affiliation:
Department of Pediatric Cardiology, Pamukkale University Faculty of Medicine, Denizli, Turkey
Furkan Ufuk
Affiliation:
Department of Pediatric Radiology, Pamukkale University School of Medicine, Denizli, Turkey
Ahmet Baltalarlı
Affiliation:
Department of Cardiovascular Surgery, Pamukkale Universitesi Tip Fakultesi, Denizli, Turkey
*
Corresponding author: Merve Oğuz; Email: mrvkorkutoguz@gmail.com

Abstract

Although Kawasaki disease is often self-limiting, significant cardiovascular sequelae may occur in the acute or late stage. The most common late complication is persistent coronary artery aneurysm, which can lead to myocardial ischaemia and even myocardial infarction. We report a case of coronary artery bypass grafting in a 16-year-old boy with a history of undiagnosed Kawasaki disease. Increased awareness of Kawasaki disease, especially among children between the ages of 6 months and 5 years, can increase early treatment and prevent serious complications that may occur in the future.

Type
Brief Report
Copyright
© The Author(s), 2023. Published by Cambridge University Press

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References

Gordon, JB, Kahn, AM, Burns, JC. When children with Kawasaki disease grow up: myocardial and vascular complications in adulthood. J Am Coll Cardiol 2009; 54: 19111920.CrossRefGoogle ScholarPubMed
McCrindle, BW, Rowley, AH, Newburger, JW, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a scientific statement for health professionals from the American Heart Association. Circulation 2017; 135: e927e999.CrossRefGoogle ScholarPubMed
Tsuda, E, Hirata, T, Matsuo, O, Abe, T, Sugiyama, H, Yamada, O. The 30-year outcome for patients after myocardial infarction due to coronary artery lesions caused by Kawasaki disease. Pediatr Cardiol 2011; 32: 176182.CrossRefGoogle ScholarPubMed
Victor, S, McKillion, KC, Puette, JA, McKillion, P, Ellison, MB. Unexpected evolution after multivessel coronary artery bypass grafting in a patient with Kawasaki disease. Cureus 2021; 13: e15927.Google Scholar
Kato, H, Ichinose, E, Kawasaki, T. Myocardial infarction in Kawasaki disease: clinical analyses in 195 cases. J Pediatr 1986; 108: 923927.CrossRefGoogle ScholarPubMed
Kitamura, S, Kawashima, Y, Fujita, T, Mori, T, Oyama, C. Aortocoronary bypass grafting in a child with coronary artery obstruction due to mucocutaneous lymph node syndrome: report of a case. Circulation 1976; 53: 10351040.CrossRefGoogle Scholar
Lee, J, Seo, J, Shin, YH, Jang, AY, Suh, SY. ST-segment elevation myocardial infarction in Kawasaki disease: a case report and review of literature. World J Clin Cases 2022; 10: 93689377.CrossRefGoogle ScholarPubMed
Daniels, LB, Tjajadi, MS, Walford, HH, et al. Prevalence of Kawasaki disease in young adults with suspected myocardial ischemia. Circulation 2012; 125: 24472453.CrossRefGoogle ScholarPubMed
Wu, MH, Chen, HC, Yeh, SJ, Lin, MT, Huang, SC, Huang, SK. Prevalence and the long-term coronary risks of patients with Kawasaki disease in a general population <40 years: a national database study. Circ Cardiovasc Qual Outcomes 2012; 5: 566570.CrossRefGoogle Scholar
Zhao, L, Xie, LP, He, L, Liang, XC, Chu, C, Liu, F. Case report: interventional therapy for coronary artery occlusion in a 6-year-old child with Kawasaki disease. Front Pediatr 2022; 10: 1048178.CrossRefGoogle Scholar
Kitamura, S, Tsuda, E, Kobayashi, J, et al. Twenty-five-year outcome of pediatric coronary artery bypass surgery for Kawasaki disease. Circulation 2009; 120: 6068.CrossRefGoogle ScholarPubMed