scholarly journals Incidental Diagnosis of Anomalous Right Coronary Artery Originating from the Opposite Sinus, in a Kawasaki Disease Patient

2021 ◽  
Vol 71 (3) ◽  
pp. 199-201
Author(s):  
Yuiko Suzuki ◽  
Tetsuro Tamai ◽  
Shuhei Takahashi ◽  
Akiho Ueda ◽  
Rena Okada ◽  
...  
Cardiology ◽  
1995 ◽  
Vol 86 (3) ◽  
pp. 207-210
Author(s):  
Noboru Takahashi ◽  
Junichiro Fukushige ◽  
Takayuki Hijii ◽  
Hisaji Igarashi ◽  
Akio Ooshima ◽  
...  

Circulation ◽  
1982 ◽  
Vol 65 (5) ◽  
pp. 956-961 ◽  
Author(s):  
H Yoshida ◽  
T Maeda ◽  
T Funabashi ◽  
S Nakaya ◽  
S Takabatake ◽  
...  

1997 ◽  
Vol 61 (2) ◽  
pp. 197-200 ◽  
Author(s):  
Koh Arakawa ◽  
Takako Akita ◽  
Kenya Nishizawa ◽  
Akira Kurita ◽  
Haruo Nakamura ◽  
...  

2017 ◽  
Vol 8 (5) ◽  
pp. 600-604 ◽  
Author(s):  
Samuel E. Ramírez-Marroquín ◽  
Alejandra Iturriaga-Hernández ◽  
Juan Calderón-Colmenero ◽  
Antonio Benita-Bordes ◽  
Jorge L. Cervantes-Salazar

Background: The indications for pediatric coronary revascularization are diverse. There are a large proportion of patients with sequelae of severe inflammatory diseases such as Kawasaki disease, and other less common causes. Methods: Retrospective review of ten pediatric patients undergoing coronary artery bypass surgery from January 2004 to December 2016. Results: Ten children and adolescents ranging in age from 2 to 17 (median, 6) years at operation were followed up for as long as 13 years with a median follow-up of 2 years. The surgical indications include ischemia symptoms and/or coronary stenosis angiographically documented. Diagnoses include Kawasaki disease, anomalous origin of the left coronary artery from the pulmonary artery, and iatrogenic lesion of the right coronary artery. All the surgical procedures were performed with cardiopulmonary bypass with crystalloid cardioplegic arrest. The number of distal anastomoses was 1.6 per patient, and the left internal thoracic artery was used in one patient, the right internal thoracic artery in four patients, bilateral internal thoracic artery in four patients, and bilateral internal thoracic artery plus left radial artery in one patient, most frequently for right coronary artery revascularization. The patients underwent noninvasive diagnostic study during follow-up to evaluate their coronary status. The ten patients had no symptoms, and there was no mortality. Conclusions: Although survival was excellent after pediatric coronary bypass in our center, we need to continue the follow-up. Coronary revascularization by means of arterial grafting is a safe and reliable surgical modality for coronary disease in children.


2020 ◽  
Vol 30 (6) ◽  
pp. 785-789
Author(s):  
Etsuko Tsuda ◽  
Takashi Noda ◽  
Teruo Noguchi

AbstractWe report two females with coronary artery occlusion caused by presumed Kawasaki disease that delivered children without any special treatment. After a 58-year-old female had ventricular tachycardia, a giant coronary artery aneurysm with calcification at the bifurcation of the left coronary artery and segmental stenosis of the right coronary artery were pointed out by CT angiography. She had an episode of sepsis when 3 years old. Further, she remembered chest pain during sleep after that episode. She had delivered twice without any complication during her 20s. Her diagnosis was undiagnosed coronary artery lesions caused by presumed Kawasaki disease and a previous myocardial infarction, and she underwent radiofrequency catheter ablation and implantable cardioverter defibrillator implantation. The other 48-year-old female was accidentally discovered to have coronary artery calcification on CT, while experiencing pneumonia. Her CT angiograms revealed a right coronary artery occlusion and coronary artery calcification at segments 1, 6, and 11. She had a history of “scarlet fever” before 12 months. Premature ventricular contractions were detected, while delivering her first child when 31 years old. However, she was not diagnosed as ischaemic heart disease and delivered twice by a vaginal delivery without any complication. Current guidelines recommend systemic anti-coagulation and anti-platelet therapy for all patients with giant aneurysms resulting from Kawasaki disease in childhood. The two women reported here were fortunate not to have had complications during pregnancy and delivery despite their severe coronary artery aneurysms, which were unrecognised clinically until later in life. They were lucky cases.


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