One case report on Adolescent Kawasaki disease combined with a triple branch coronary artery lesion
-
摘要: 本文报道1例16岁的青少年患者，川崎病史6年，不规律口服阿司匹林抗血小板治疗，未规律复诊。在患川崎病后6年因胸痛症状入院，入院后冠状动脉造影提示冠状动脉3支病变、前降支开口闭塞、回旋支近段狭窄50%、右冠状动脉近段以远完全闭塞。给予冠状动脉旁路移植术治疗后，患者胸痛缓解。本文针对川崎病引起的冠状动脉病变情况及其治疗进行分析。Abstract: This paper reports a 16-year-old adolescent patient with a history of Kawasaki for 6 years who was treated with irregular antiplatelet therapy(oral aspirin) without regular follow-up visits. He was admitted to hospital due to chest pain after Kawasaki disease six years. Coronary angiography revealed lesions in three branches of the coronary artery, complete occlusion of the anterior descending branch, 50% stenosis of the proximal circumflexal branch, and complete occlusion of the proximal right coronary artery. After coronary artery bypass grafting, the patient's chest pain was relieved.
-
-
[1] Magro P, Carvalho N, Anjos R, et al. Coronary artery bypass grafting in a child with Kawasaki disease[J]. Rev Port Cardiol(Engl Ed), 2021, 40(7): 519.
[2] Mossberg M, Mohammad AJ, Kahn F, et al. High risk of coronary artery aneurysm in Kawasaki disease[J]. Rheumatology(Oxford), 2021, 60(4): 1910-1914. doi: 10.1093/rheumatology/keaa512
[3] Rife E, Gedalia A. Kawasaki Disease: an Update[J]. Curr Rheumatol Rep, 2020, 22(10): 75. doi: 10.1007/s11926-020-00941-4
[4] Noval Rivas M, Arditi M. Kawasaki disease: pathophysiology and insights from mouse models[J]. Nat Rev Rheumatol, 2020, 16(7): 391-405. doi: 10.1038/s41584-020-0426-0
[5] Chang LS, Lin YJ, Yan JH, et al. Neutrophil-to-lymphocyte ratio and scoring system for predicting coronary artery lesions of Kawasaki disease[J]. BMC Pediatr, 2020, 20(1): 398. doi: 10.1186/s12887-020-02285-5
[6] Rajasekaran K, Duraiyarasan S, Adefuye M, et al. Kawasaki disease and coronary artery involvement: a narrative review[J]. Cureus, 2022, 14(8): e28358.
[7] 袁祖贻, 肖懿慧. 急性冠状动脉综合征抗血小板降阶治疗策略的研究进展[J]. 临床心血管病杂志, 2022, 38(10): 767-770. doi: 10.13201/j.issn.1001-1439.2022.10.001
[8] Fukazawa R, Kobayashi J, Ayusawa M, et al. JCS/JSCS 2020 Guideline on Diagnosis and Management of Cardiovascular Sequelae in Kawasaki Disease[J]. Circ J, 2020, 84(8): 1348-1407. doi: 10.1253/circj.CJ-19-1094
[9] Bratincsak A, Hong TM, Melish ME. Acute adult-onset kawasaki disease complicated by coronary artery aneurysms, thrombosis, and st-segment elevation myocardial infarction[J]. JACC Case Rep, 2021, 3(2): 276-279. doi: 10.1016/j.jaccas.2020.11.034
[10] Zhang D, Liu L, Huang X, et al. Insights into coronary artery lesions in Kawasaki Disease[J]. Front Pediatr, 2020, 8: 493. doi: 10.3389/fped.2020.00493
[11] Kwak Y, Kwak JG, Cho S, et al. Long-term clinical outcomes of coronary artery bypass grafting in young children with Kawasaki disease[J]. Cardiol Young, 2022, 32(3): 459-464. doi: 10.1017/S1047951121002420
[12] Lee J, Seo J, Shin YH, et al. ST-segment elevation myocardial infarction in Kawasaki disease: A case report and review of literature[J]. World J Clin Cases, 2022, 10(26): 9368-9377. doi: 10.12998/wjcc.v10.i26.9368
[13] Kitamura S, Tsuda E. Significance of Coronary Revascularization for Coronary-Artery Obstructive Lesions Due to Kawasaki Disease[J]. Children(Basel), 2019, 6(2): 110.
[14] 张仁见智, 于鑫溢, 刘志刚. 冠状动脉旁路移植术后心房颤动的预测与预防[J]. 临床心血管病杂志, 2023, 39(4): 313-319. doi: 10.13201/j.issn.1001-1439.2023.04.015
[15] 王晨, 董念国, 蒋雄刚. 急诊冠状动脉旁路移植术的研究进展[J]. 临床心血管病杂志, 2021, 37(3): 196-199. doi: 10.13201/j.issn.1001-1439.2021.03.002
[16] Abu Akel M, Hellman YM, Sawaed S, et al. Treatment and imaging modalities of giant coronary aneurysms resulting from kawasaki disease and presenting as acute inferior wall myocardial infarction[J]. Case Rep Cardiol, 2021, 2021: 8878358.
[17] Das M, Narayan P. Coronary artery bypass grafting in children for atheromatous and non-atheromatous lesions[J]. Indian J Thorac Cardiovasc Surg, 2021, 37(Suppl 1): 155-164.
-
下载:
图(3)
计量
- 文章访问数: 423
- PDF下载数: 100
- 施引文献: 0