ST-segment elevation myocardial infarction in Kawasaki disease: A case report and review of literatureopen access
- Authors
- Lee, Joonpyo; Seo, Jeongduk; Shin, Yong Hoon; Jang, Albert Youngwoo; Suh, Soon Yong
- Issue Date
- Sep-2022
- Publisher
- BAISHIDENG PUBLISHING GROUP INC
- Keywords
- Kawasaki disease; Acute coronary syndrome; ST elevation myocardial infarction; Coronary angiography; Percutaneous coronary intervention; Case report
- Citation
- WORLD JOURNAL OF CLINICAL CASES, v.10, no.26, pp.9368 - 9377
- Journal Title
- WORLD JOURNAL OF CLINICAL CASES
- Volume
- 10
- Number
- 26
- Start Page
- 9368
- End Page
- 9377
- URI
- https://scholarworks.bwise.kr/gachon/handle/2020.sw.gachon/85913
- DOI
- 10.12998/wjcc.v10.i26.9368
- ISSN
- 2307-8960
- Abstract
- BACKGROUND Kawasaki disease (KD) is an acute self-limiting febrile vasculitis that occurs during childhood and can cause coronary artery aneurysm (CAA). CAAs are associated with a high rate of adverse cardiovascular events. CASE SUMMARY A Korean 35-year-old man with a 30-year history of KD presented to the emergency room with chest pain. Emergent coronary angiography was performed as ST-segment elevation in the inferior leads was observed on the electrocardiogram. An aneurysm of the left circumflex (LCX) coronary artery was found with massive thrombi within. A drug-eluting 4.5 mm 23 mm-sized stent was inserted into the occluded area without complications. The maximal diameter of the LCX was 6.0 mm with a Z score of 4.7, suggestive of a small aneurysm considering his age, sex, and body surface area. We further present a case series of 19 patients with KD, including the current patient, presenting with acute coronary syndrome (ACS). Notably, none of the cases showed Z scores; only five patients (26%) had been regularly followed up by a physician, and only one patient (5.3%) was being treated with antithrombotic therapy before ACS occurred. CONCLUSION For KD presenting with ACS, regular follow up and medical therapy may be crucial for improved outcomes.
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