Document Detail

Giant coronary artery aneurysms in Kawasaki disease--the need for coronary artery bypass.
MedLine Citation:
PMID:  18378191     Owner:  NLM     Status:  MEDLINE    
The incidence of coronary artery involvement has fallen markedly following early gammaglobulin infusions in Kawasaki disease. Nevertheless such involvement may still occur and if giant coronary aneurysms develop they are more likely to lead to myocardial ischaemia. Two subjects are described who developed giant aneurysms, one of whom was subjected to successful coronary artery bypass following the detection of myocardial ischaemia on a nuclear perfusion scan 5 years following his acute episode. The other is being followed to detect the first signs of any ischaemia. While all patients who develop coronary artery aneurysms following Kawasaki disease require diligent long-term review, that is especially important in the few with giant aneurysms. Early detection of significant coronary artery stenosis and its successful treatment may prevent myocardial infarction in childhood and adolescence with all its long-term consequences.
Boon Kian Yeu; Samuel Menahem; Jacob Goldstein
Publication Detail:
Type:  Case Reports; Journal Article     Date:  2008-04-02
Journal Detail:
Title:  Heart, lung & circulation     Volume:  17     ISSN:  1444-2892     ISO Abbreviation:  Heart Lung Circ     Publication Date:  2008 Oct 
Date Detail:
Created Date:  2008-09-03     Completed Date:  2008-12-12     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  100963739     Medline TA:  Heart Lung Circ     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  404-6     Citation Subset:  IM    
Department of Paediatric Cardiology, Monash Medical Centre, Melbourne, Australia.
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MeSH Terms
Coronary Aneurysm / etiology*,  radiography,  surgery*
Coronary Angiography / methods
Coronary Artery Bypass*
Mucocutaneous Lymph Node Syndrome / complications*,  radiography,  surgery*

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