title: Stent implantation for a totally occluded right coronary artery in a six-year-old boy after Kawasaki disease: a case report.
abstract: BACKGROUND
  Coronary stenting has previously been considered to be less feasible in children under 12 years old due to the limitation of vascular access. We report the case of a six-year-old boy who successfully underwent stent implantation for his totally occluded right coronary artery.
  
  
  METHODS
  A Taiwanese boy aged six years and nine months old was found to have giant aneurysms after an acute episode of Kawasaki disease. An angiography revealed that his middle right coronary artery was totally occluded. A 0.014-inch guidewire was advanced to cross the totally occluded site. After pre-dilating the middle portion of his right coronary artery with a 1.5 mm balloon, stenting of his right coronary artery was accomplished using a 2.5 × 28 mm and a 2.5 × 18 mm bare metal stent. A final angiography demonstrated no residual stenosis or dissection.
  
  
  CONCLUSIONS
  Coronary stenting could be a therapeutic option for children as young as six years old. Close follow-up is mandatory because the long-term outcome is still unclear, especially in a small child.
authors.affiliation: Department of Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan. mingclin@gmail.com.
authors.forename: Ya-Chi
authors.initials: YC
authors.lastname: Hsu
authors.forename: Kae-Woei
authors.initials: KW
authors.lastname: Liang
authors.forename: Ming-Chih
authors.initials: MC
authors.lastname: Lin
authors.forename: Yun-Ching
authors.initials: YC
authors.lastname: Fu
authors.forename: Sheng-Ling
authors.initials: SL
authors.lastname: Jan