title: Bioresorbable Vascular Scaffold Implantation for Successful Treatment of a Symptomatic Coronary Lesion in a 17-Year-Old Boy After Kawasaki Disease.
abstract: Coronary stenting is considered a promising treatment option for patients with coronary artery lesions caused by Kawasaki disease (KD). Here, we report the case of an adolescent with KD who successfully underwent implantation of a fully bioresorbable vascular scaffold (BVS) in a Kawasaki-related, highly obstructed coronary artery. Control coronary angiography 6 months later showed a remaining good result without restenosis or development of aneurysm. Cardial MRI and clinical follow-up revealed stable results at 6 and 18 months without any signs of ischemia. To our knowledge, this is the first report of a successful implantation of a fully bioresorbable vascular scaffold in a young adult with the history of KD. The case illustrates the feasibility and safety of BVS implantation for the treatment of KD. It remains to be confirmed by further studies, if this approach by this novel material might be a therapeutic alternative to coronary bypass grafting or other coronary interventions.
authors.affiliation: Division of Cardiology, Department of Medicine III, J. W. Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany. brigitte.luu@kgu.de.|Hessisches Kinderherzzentrum, Giessen, Germany. brigitte.luu@kgu.de.
authors.forename: Brigitte
authors.initials: B
authors.lastname: Luu
authors.affiliation: Pediatric Heart Center, Justus-Liebig University, Giessen, Germany.|Hessisches Kinderherzzentrum, Giessen, Germany.
authors.forename: Anoosh
authors.initials: A
authors.lastname: Esmaeili
authors.affiliation: Pediatric Heart Center, Justus-Liebig University, Giessen, Germany.|Hessisches Kinderherzzentrum, Giessen, Germany.
authors.forename: Dietmar
authors.initials: D
authors.lastname: Schranz
authors.affiliation: Division of Cardiology, Department of Medicine III, J. W. Goethe University, Theodor-Stern-Kai 7, 60590, Frankfurt, Germany.|Hessisches Kinderherzzentrum, Giessen, Germany.
authors.forename: Stephan
authors.initials: S
authors.lastname: Fichtlscherer
mesh_terms: D020341:Absorbable Implants; D000293:Adolescent; D015906:Angioplasty, Balloon, Coronary / Q000379:methods*; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000601:surgery*; D017023:Coronary Angiography / Q000379:methods; D003331:Coronary Vessels / Q000601:surgery*; D054855:Drug-Eluting Stents; D000068338:Everolimus / Q000627:therapeutic use; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D011474:Prosthesis Design; D016896:Treatment Outcome
chemical_list: D007166:Immunosuppressive Agents; D000068338:Everolimus
keywords: Aneurysm; Bioresorbable vascular scaffold; Kawasaki disease; Stenosis