A rare case: surviving acute left main coronary artery occlusion in Kawasaki's disease.
We present a case of cardiogenic shock due to acute thrombotic occlusion of the left main coronary artery in Kawasaki's aneurysmal coronary artery disease. The patient was treated with PTCA as a bridge to CABG. Because of a persistent low-output syndrome, orthotopic heart transplantation was successfully performed three days later. The patient is alive and well one year after the event.
Orrego
P S
PS
Servizio di Cardiologia Interventistica, Ospedale Niguarda Ca' Granda, Milano.
Pezzano
A
A
Muriesan
H
H
Belli
G
G
Klugmann
S
S
D000208:Acute Disease; D000328:Adult; D015906:Angioplasty, Balloon, Coronary; D002303:Cardiac Output, Low / Q000209:etiology / Q000601:surgery; D003131:Combined Modality Therapy; D001026:Coronary Artery Bypass; D003327:Coronary Disease / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000628:therapy; D003331:Coronary Vessels / Q000473:pathology; D004562:Electrocardiography; D005260:Female; D016027:Heart Transplantation; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery