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Journal ArticleDOI

Enfermedad coronaria aneurismática severa en un adolescente con angina de esfuerzo secundaria a enfermedad de Kawasaki no diagnosticada previamente

09 Jan 2007-Revista Medica De Chile (Sociedad Médica de Santiago)-Vol. 135, Iss: 9, pp 1182-1185
TL;DR: A 16 year old male with a history of angina on exertion and a treadmill exercise test was positive for ischemia in concordance with a Thallium-201scintigraphy showing a septal and infero-posterior reversible myocardial perfusion defect.
Abstract: 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-201scintigraphy showing a septal and infero-posterior reversible myocardial perfusion defect.Coronary angiography disclosed severe aneurysmal coronary artery disease. Bilateral internalmammary coronary artery bypass grafting was successfully performed. Kawasaki disease is themost likely etiology, although not confirmed (Rev Med Chile 2007; 135: 1182-85).(

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TL;DR: When the previously reported cases of six similar patients were taken into consideration, the only predictor of successful PTCA seemed to be the time elapsed between the onset of Kawasaki disease and perfo...
Abstract: Background Percutaneous transluminal coronary angioplasty (PTCA) has rarely been performed on patients with coronary lesions that result from Kawasaki disease. In this study, we retrospectively evaluated the effectiveness of PTCA in five patients with coronary arterial stenosis that resulted from Kawasaki disease and reviewed previous reports for possible indicators of PTCA effectiveness. Methods and Results Five patients, ranging in age from 2 to 16 years (median, 8 years), underwent conventional PTCA for localized stenosis. The lesion targeted for PTCA was located in the middle right coronary artery of three patients and in the left anterior descending artery in two patients. In four of the five patients, PTCA was angiographically effective, with stenosis rates improving from 84±10% to 33±11% (P<.05). When the previously reported cases of six similar patients were taken into consideration, the only predictor of successful PTCA seemed to be the time elapsed between the onset of Kawasaki disease and perfo...

25 citations

References
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Journal ArticleDOI
TL;DR: It is suggested that aneurysmal coronary disease does not represent a distinct clinical entity but is, rather, a variant of coronary atherosclerosis.
Abstract: To examine the clinical and historical features and the natural history of aneurysmal coronary disease, we reviewed the registry data of the Coronary Artery Surgery Study (CASS). Nine hundred seventy-eight patients, representing 4.9% of the total registry population, were identified as having aneurysmal disease. No significant differences were noted between aneurysmal and nonaneurysmal coronary disease patients when features such as hypertension, diabetes, lipid abnormalities, family history, cigarette consumption, incidence of documented myocardial infarction, presence and severity of angina, and presence of peripheral vascular disease were examined. In addition, no difference in 5-year medical survival was noted between these two groups. These findings suggest that aneurysmal coronary disease does not represent a distinct clinical entity but is, rather, a variant of coronary atherosclerosis.

910 citations

Journal ArticleDOI
TL;DR: A history of antecedent Kawasaki disease should be sought in all young adults who present with acute myocardial infarction or sudden death, andCoronary artery aneurysms and calcification on chest radiography were unusual features in this group of patients.

316 citations

Journal ArticleDOI
TL;DR: A clinical guideline for the diagnosis and treatment of Kawasaki disease in the UK based on the best available evidence to date is proposed, and areas of practice where evidence is anecdotal or based on retrospective data are highlighted.
Abstract: This article proposes a clinical guideline for the diagnosis and treatment of Kawasaki disease in the UK based on the best available evidence to date, and highlights areas of practice where evidence is anecdotal or based on retrospective data. Future research as proposed by the London Kawasaki Disease Research Group is outlined, and clinicians are invited to prospectively enrol their suspected cases into this collaborative research project.

178 citations