Unexpected coronary arterial calcification and thrombosis late after Kawasaki disease

Johnston, Niall; Snow, Aisling; McMahon, Colin J.

doi:10.1136/bcr-2016-216451

Cited by 3 publications

(1 citation statement)

References 3 publications

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“…Especially for patients with normal distal vessels, coronary artery bypass grafting is the preferred treatment [1,2] . According to the summary of all cases with CAA calci cation and stenosis [2,10,12,13,22,[26][27][28][29][30][31][32][33][34][35][36][37][38] (Table 1), surgical treatment based on CABG can effectively solve the problem of CAA calci cation and stenosis. Unfortunately, all reports have no long-term follow-up results.…”

Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

Sun

Zhang

et al. 2020

Preprint

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Coronary artery aneurysm (CAA) has been increasingly reported in recent years. The symptoms are related to myocardial ischemia, such as angina pectoris, myocardial infarction, sudden death and congestive heart failure. This report describes a case of a giant CAA with calcification and stenosis involving two coronary arteries, and the patient underwent a complete arterialized coronary artery bypass graft. After 3 months of follow-up, it was found that the radial artery graft was occluded. In this report, all cases related to CAA with calcification and stenosis are summarized. According to the data, the following conclusions can be drawn: CAA seem to be more common in men; Kawasaki disease is likely to be a causative factor in some patients with asymptomatic CAA involving calcification and stenosis; CABG is a feasible treatment option for CAA with calcification and stenosis.

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Section: Discussionmentioning

confidence: 99%

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

Sun

Zhang

et al. 2020

Preprint

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Coronary sequelae of Kawasaki disease treated with rotational atherectomy and drug coated balloon

Shi

Li²,

Liu³

et al. 2020

Medicine

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Introduction: Kawasaki disease (KD) is an acute vasculitis syndrome that mainly affects children and is the first cause of acquired heart disease. Coronary artery lesion is the most serious complication of KD. Only two previous studies have reported similar cases, but we reported patient was younger and had a longer follow-up. Patient concerns: We reported a case of coronary sequelae of KD treated with rotational atherectomy and drug coated balloon (DCB). During the week after surgery, the patient complained of a slight chest pain intermittently, but no longer appeared after that. Diagnosis: We diagnosed by electrocardiogram and angiography. Angiography showed that the anterior descending branch (LAD) proximal stenosis was 95%, the right coronary artery (RCA) middle stenosis was 99%, and the calcification was severe. Interventions: We treat the patient with rotational atherectomy using a 1.25 mm burr, pre-dilatation of the stenosis lesion with a 3.5 mm × 15 mm non-compliant balloon was achieved. Then 3.5 mm × 15 mm drug eluting balloon was inflated at 10 atm for 60 seconds. Outcomes: After the 6-month follow-up (from October 2018 to March 2019), the symptom of angina disappeared. Coronary angiography 6 months later showed no apparent progression of vessel narrowing. Conclusion: The present case suggests that rotational atherectomy followed by DCB dilation could be an alternative revascularization therapy of choice in coronary KD sequelae complicated with atherosclerosis.

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Epicardial Stone　― Unfamiliar Calcified Mass at the Site of Left Ventricular Old Myocardial Infarction ―

Tabata

Motoki

Sakai

et al. 2019

Circ J

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entirely of calcification.Calcification of the rim of an OMI aneurysm or coronary artery aneurysm has been reported, 1,2 but no previous report has described an epicardial stone with no internal blood flow. The origin of the stone remains unclear, but its location near the vestige of LAD suggests the obstruction of a coronary artery aneurysm. DisclosuresThe authors declare no conflicts of interest.

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Unexpected coronary arterial calcification and thrombosis late after Kawasaki disease

Cited by 3 publications

References 3 publications

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

Coronary sequelae of Kawasaki disease treated with rotational atherectomy and drug coated balloon

Epicardial Stone　― Unfamiliar Calcified Mass at the Site of Left Ventricular Old Myocardial Infarction ―

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Unexpected coronary arterial calcification and thrombosis late after Kawasaki disease

Cited by 3 publications

References 3 publications

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

Surgical Treatment of Coronary Artery Aneurysm with Calcification and Stenosis: A Case Report and Review of the Literature

Coronary sequelae of Kawasaki disease treated with rotational atherectomy and drug coated balloon

Epicardial Stone ― Unfamiliar Calcified Mass at the Site of Left Ventricular Old Myocardial Infarction ―

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Epicardial Stone　― Unfamiliar Calcified Mass at the Site of Left Ventricular Old Myocardial Infarction ―