Coronary artery bypass grafting in adolescent with myocardial infarction complicating undiagnosed Kawasaki disease

Cardiol Young. 2024 Jan;34(1):224-227. doi: 10.1017/S1047951123004080. Epub 2023 Dec 1.

Abstract

Although Kawasaki disease is often self-limiting, significant cardiovascular sequelae may occur in the acute or late stage. The most common late complication is persistent coronary artery aneurysm, which can lead to myocardial ischaemia and even myocardial infarction. We report a case of coronary artery bypass grafting in a 16-year-old boy with a history of undiagnosed Kawasaki disease. Increased awareness of Kawasaki disease, especially among children between the ages of 6 months and 5 years, can increase early treatment and prevent serious complications that may occur in the future.

Keywords: Kawasaki disease; acute coronary syndrome; bypass grafting; myocardial infarction.

Publication types

  • Case Reports

MeSH terms

  • Adolescent
  • Child
  • Coronary Aneurysm* / diagnostic imaging
  • Coronary Aneurysm* / etiology
  • Coronary Artery Bypass
  • Coronary Artery Disease* / complications
  • Humans
  • Infant
  • Male
  • Mucocutaneous Lymph Node Syndrome* / complications
  • Mucocutaneous Lymph Node Syndrome* / diagnosis
  • Myocardial Infarction* / complications
  • Myocardial Infarction* / diagnosis