A 25-Year-Old Man with Kawasaki Disease and Myocardial Infarction: A Case Report
| Autor: | Mohammad Javad Alamzadeh Ansari, Azin Alizadehasl, Leili Poorafkari, Alireza Alizadeh Ghavidel, Behshid Ghadrdoost, Freidoon Noohi Bezanjani, Rashideh Siami |
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| Rok vydání: | 2019 |
| Předmět: |
Coronary artery aneurysm
medicine.medical_specialty Ejection fraction Heart disease business.industry medicine.disease Sudden cardiac death Coronary artery disease Internal medicine Right coronary artery medicine.artery cardiovascular system medicine Cardiology Kawasaki disease cardiovascular diseases Myocardial infarction business |
| Zdroj: | Multidisciplinary Cardiovascular Annals. 10 |
| ISSN: | 2538-5550 |
| Popis: | Introduction: Kawasaki disease (KD) is a systemic vasculitis syndrome usually presented with acute fever which occurs primarily in children younger than 5 years of age. KD has become the most common cause of acquired heart disease in pediatric population in developed countries. Kawasaki disease can damage cardiovascular system including myocarditis, pericarditis, coronary artery aneurysms complicated by thrombotic or stenotic lesions that are at risk of myocardial infarction (MI), congestive heart failure and also sudden cardiac death. The incidence of such complications can be dramatically reduced by early diagnosis and intravenous immunoglobulin (IVIg) therapy and high dose aspirin. Case Presentation: A 25-year-old man with a history of Kawasaki disease 17 years ago presented with anterior ST-segment elevation myocardial infarction (STEMI), left anterior descending artery (LAD) and right coronary artery (RCA) aneurysmal dilation and thrombosis with left ventricle ejection fraction (LVEF) of 25% that underwent coronary artery bypass graft (CABG) surgery and surgical closure of coronary artery aneurysms. Conclusions: The surgical management of cardiac disease in Kawasaki patients could be safe and effective. |
| Databáze: | OpenAIRE |
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