Thorac Cardiovasc Surg 2006; 54(5): 358-359
DOI: 10.1055/s-2006-923807
Case Reports

© Georg Thieme Verlag KG Stuttgart · New York

Revascularisation of a Giant Coronary Artery Aneurysm in Suspected Incomplete Kawasaki-Disease

G. Reinerth1 , D. Konradi2 , H.-J. Rupprecht2 , T. Münzel3 , C. F. Vahl1
  • 1Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Mainz, Germany
  • 2Department of Cardiology, GPR Klinikum Ruesselsheim, Ruesselsheim, Germany
  • 3Department of Cardiology, Johannes Gutenberg University, Mainz, Germany
Further Information

Publication History

Received October 19, 2005

Publication Date:
10 August 2006 (online)

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.

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

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