Iranian Heart Journal

Iranian Heart Journal

CORONARY ARTERY REVASCULARIZATION IN A YOUNG ADULT WITH SOLITARY CORONARY ANEURYSM PROBABLY SECONDARY TO CHILDHOOD KAWASAKI DISEASE (CASE REPORT)

Authors
M.H. GHAFFARI NEJAD
H.R. VAFAEY
A. SADEGHPOOR TABAIE
H.A. BASSIRI
SHAHEED RAJAI CARDIOVASCULAR MEDICAL CENTER, MELLAT PARK, VALI ASR AVENUE, TEHRAN, IRAN
Abstract
Surgical revascularization for coronary artery lesions secondary to Kawasaki disease (KD) has been rarely reported in adolescent patients. We report a young adult with no coronary risk factors but with a giant solitary coronary aneurysm with obstructive thrombosis inside, presumably secondary to KD, who underwent coronary artery bypass grafting (CABG) with left internal thoracic artery (LITA) and SVG.
Because coronary artery sequelae of KD can be a cause of ischemic heart disease even in young adults, heightened awareness of this entity is required for young adults with coronary lesions but without coronary risk factors.

 
Keywords
KAWASAKI DISEASE
CORONARY ARTERY ANEURYSM
CORONARY ARTERITIS
MYOCARDIAL INFARCTION
Iranian Heart Journal
Volume 10, Issue 4
Autumn 2009
Pages 57-59