| Giant coronary artery aneurysms in Kawasaki disease--the need for coronary artery bypass. | |
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MedLine Citation:
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PMID: 18378191 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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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. |
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Authors:
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Boon Kian Yeu; Samuel Menahem; Jacob Goldstein |
Publication Detail:
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Type: Case Reports; Journal Article Date: 2008-04-02 |
Journal Detail:
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Title: Heart, lung & circulation Volume: 17 ISSN: 1444-2892 ISO Abbreviation: Heart Lung Circ Publication Date: 2008 Oct |
Date Detail:
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Created Date: 2008-09-03 Completed Date: 2008-12-12 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 100963739 Medline TA: Heart Lung Circ Country: Australia |
Other Details:
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Languages: eng Pagination: 404-6 Citation Subset: IM |
Affiliation:
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Department of Paediatric Cardiology, Monash Medical Centre, Melbourne, Australia. |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Australia Child Coronary Aneurysm / etiology*, radiography, surgery* Coronary Angiography / methods Coronary Artery Bypass* Humans Male Mucocutaneous Lymph Node Syndrome / complications*, radiography, surgery* |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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