[Severe aneurismal coronary artery disease probably caused by Kawasaki disease. report of one case].
We report a 16 year old male with a history of angina on exertion. A treadmill exercise test was positive for ischemia in concordance with a Thallium-201 scintigraphy showing a septal and infero-posterior reversible myocardial perfusión defect. Coronary angiography disclosed severe aneurysmal coronary artery disease. Bilateral internal mammary coronary artery bypass grafting was successfully performed. Kawasaki disease is the most likely etiology, although not confirmed.
Departamento de Cardiología, Clínica Reñaca, Cátedra de Cardiología, Universidad de Valparaíso, Chile. cardio@entelchile.net
Rienzi A
RA
Díaz
Ernesto
E
Aránguiz
Oneglio
O
Pedemonte
Danilo
D
Silva
Salvador
S
Villablanca
Humberto
H
Torres
Gustavo
G
Ríos
D000293:Adolescent; D000787:Angina Pectoris / Q000000981:diagnostic imaging; D003323:Coronary Aneurysm / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D017023:Coronary Angiography; D001026:Coronary Artery Bypass; D004452:Echocardiography; D005080:Exercise Test; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D011877:Radionuclide Imaging; D013794:Thallium Radioisotopes
D013794:Thallium Radioisotopes