Revascularisation of a giant coronary artery aneurysm in suspected incomplete Kawasaki-disease.
Kawasaki disease leads to typical vascular complications in up to 20 % of untreated cases. We describe a 47-year-old patient with coronary vessel disease, involving the right coronary artery with a huge aneurysmatic dilatation, suspicious for an incomplete form of Kawasaki disease. We found little information about the surgical treatment and postoperative course of this disease in adults. Typically, these infrequent patients present with acute myocardial infarction and require interdisciplinary decision-making.
Reinerth
G
G
Department of Cardiothoracic and Vascular Surgery, Johannes Gutenberg University Mainz, Langenbeckstrasse 1, 55131 Mainz, Germany. guenter.reinerth@arcor.de
Konradi
D
D
Rupprecht
H-J
HJ
Münzel
T
T
Vahl
C F
CF
D000784:Aortic Dissection / Q000209:etiology / Q000601:surgery; D020520:Brain Infarction / Q000209:etiology; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery*; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D003328:Coronary Thrombosis / Q000209:etiology / Q000601:surgery; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology; D008875:Middle Aged; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery*; D009203:Myocardial Infarction / Q000209:etiology / Q000601:surgery; D011183:Postoperative Complications / Q000209:etiology