Coronary Bypass in an Adult with Kawasaki Disease

Abstract

We present the case of a 30-year-old female patient with few coronary risk factors for atherosclerosis but with 3-vessel coronary artery disease possibly secondary to Kawasaki disease. Coronary angiography showed total occlusion of the left anterior descending artery and a right coronary artery aneurysm. Quadruple coronary artery bypass was performed. The postoperative course was uneventful.

Off-pump beating coronary artery bypass grafting in a young adult with Kawasaki disease

“… 4 Kato reported 9 of 21 adult patients with a definite or suspected history of Kawasaki disease who underwent CABG and there are other case reports. 5 – 8 In a review, clinical symptoms were described as acute myocardial infarction (MI) or previous MI or angina pectoris and the patients received conservative medical treatment, angioplasty, or surgical intervention in the form of CABG. 9 Good results were reported for the CABG group while medication or PTCA has failed.…”