Rupture of a giant coronary artery aneurysm due to Kawasaki disease.
Coronary artery aneurysm requiring surgery is rare. We report a case of a ruptured giant coronary artery aneurysm due to Kawasaki vasculitis which presented with cardiac arrest and was successfully treated by emergency coronary artery bypass grafting. The controversies surrounding the management of this disease are also discussed.
Hwong
Thomas M T
TM
Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong.
Arifi
Ahmed A
AA
Wan
Innes Y P
IY
Thung
K H
KH
Wan
Song
S
Sung
Rita Y T
RY
Yim
Anthony P C
AP
D000925:Anticoagulants / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D002305:Cardiac Tamponade / Q000209:etiology; D002675:Child, Preschool; D003131:Combined Modality Therapy; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D001026:Coronary Artery Bypass; D018450:Disease Progression; D004630:Emergencies; D006323:Heart Arrest / Q000209:etiology; D006331:Heart Diseases / Q000209:etiology; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D016756:Immunoglobulins, Intravenous / Q000627:therapeutic use; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000188:drug therapy / Q000209:etiology* / Q000628:therapy; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D012074:Remission Induction; D012422:Rupture, Spontaneous; D017131:Thrombectomy; D013927:Thrombosis / Q000209:etiology; D014463:Ultrasonography
D000925:Anticoagulants; D016756:Immunoglobulins, Intravenous; D010975:Platelet Aggregation Inhibitors; D006493:Heparin; D001241:Aspirin