J Korean Med Sci.  1998 Dec;13(6):693-695. 10.3346/jkms.1998.13.6.693.

Percutaneous transluminal coronary angioplasty in a child with Kawasaki disease

• Min JH
• Huh J
• Kim YW
• Kim HS
• Noh CI
• Choi JY
• Yun YS
• Lee MM

• KMID: 1038456
• DOI: http://doi.org/10.3346/jkms.1998.13.6.693

Abstract

A successful attempt at percutaneous transluminanl coronary angioplasty (PTCA) to relieve stenosis of the mid-portion of the left anterior descending artery was achieved in a 6-year 9-month old boy who had multiple coronary aneurysms and stenosis due to Kawasaki disease. Despite the progression of coronary stenosis he had been well except for the perfusion defect of the anterior wall of myocardium on 99mTc-MIBI SPECT with dipyridamole infusion until PTCA was carried out after 4-year 4-months of the onset of illness. The area of stenosis was 70% before PTCA and 20% after PTCA. No restenosis at the site of PTCA was observed on follow-up angiography at 26 months after PTCA. This successful attempt may indicate that this procedure should be considered early in subclinical stenosis to prevent ischemic cardiac damage.

MeSH Terms

Angioplasty, Transluminal, Percutaneous Coronary*
Case Report
Child
Coronary Disease/therapy*
Coronary Disease/etiology
Human
Male
Mucocutaneous Lymph Node Syndrome/therapy*
Mucocutaneous Lymph Node Syndrome/complications