Document Detail

Symptomatic coronary obstruction due to Kawasaki disease in an adult.
MedLine Citation:
PMID:  18291205     Owner:  NLM     Status:  MEDLINE    
Kawasaki disease is the most common cause of pediatric ischemic heart disease in the world, but it is unusual in adults. We present a case of Kawasaki disease in a young adult. This 20-year-old man presented with angina. Coronary angiography revealed aneurysmal obstructive lesions consistent with remote Kawasaki disease. The patient underwent coronary artery bypass grafting with arterial conduits. Postoperative echocardiography was normal and stress myocardial perfusion imaging showed no ischemia. He remained asymptomatic 12 months after surgery. There is controversy regarding optimal therapy, choice of conduit, treatment of proximal aneurysms, and surveillance in adults with Kawasaki disease.
Cindy Codispoti; Sheri Boyd; David Sees; William Conner
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  The Annals of thoracic surgery     Volume:  85     ISSN:  1552-6259     ISO Abbreviation:  Ann. Thorac. Surg.     Publication Date:  2008 Mar 
Date Detail:
Created Date:  2008-02-22     Completed Date:  2008-03-06     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  15030100R     Medline TA:  Ann Thorac Surg     Country:  Netherlands    
Other Details:
Languages:  eng     Pagination:  1081-3     Citation Subset:  AIM; IM    
Department of Medicine, Brooke Army Medical Center, Fort Sam Houston, Texas 78234, USA.
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MeSH Terms
Coronary Artery Bypass
Coronary Stenosis / etiology*,  surgery
Mucocutaneous Lymph Node Syndrome / complications*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine

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