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Chronic total occlusion by stent fracture in Kawasaki disease: is recanalisation possible?

Published online by Cambridge University Press:  26 July 2011

Gi-Beom Kim
Affiliation:
Department of Pediatrics, Cardiovascular Center, Seoul National University Hospital, Seoul, South Korea
Hyo-Soo Kim
Affiliation:
Department of Internal Medicine, Cardiovascular Center, Seoul National University Hospital, Seoul, South Korea
Jung-Yun Choi*
Affiliation:
Department of Pediatrics, Seoul National University Bundang Hospital, Gyeonggi-do, South Korea
*
Correspondence to: Dr J.-Y. Choi, MD, PhD, Department of Pediatrics, Seoul National University Bundang Hospital, 300 Gumi-dong, Seongnam City, Gyeonggi-do 463-707, South Korea. Tel: +82 31 787 7281; Fax: +82 31 787 4054; E-mail: [email protected]

Abstract

Despite various medications for Kawasaki disease, a small number of children have been undergoing interventions for severe coronary artery complications. Transcatheter intervention is a feasible alternative to coronary artery bypass grafting in a patient with chronic totally occluded lesion after Kawasaki disease, even by stent fracture.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2011

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References

1.Newburger, JW, Takahashi, M, Gerber, MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Circulation 2004; 110: 27472771.CrossRefGoogle Scholar
2.Kato, H, Sugimura, T, Akagi, T, et al. Long-term consequences of Kawasaki disease. A 10- to 21-year follow-up study of 594 patients. Circulation 1996; 94: 13791385.CrossRefGoogle ScholarPubMed
3.Terai, M, Shulman, ST. Prevalence of coronary artery abnormalities in Kawasaki disease is highly dependent on gamma globulin dose but independent of salicylate dose. J Pediatr 1997; 131: 888893.CrossRefGoogle ScholarPubMed
4.Hijazi, ZM, Smith, JJ, Fulton, DR. Stent implantation for coronary artery stenosis after Kawasaki disease. J Invasive Cardiol 1997; 9: 534536.Google ScholarPubMed
5.Akagi, T. Interventions in Kawasaki disease. Pediatr Cardiol 2005; 26: 206212.CrossRefGoogle ScholarPubMed
6.Lee, MS, Jurewitz, D, Aragon, J, Forrester, J, Makkar, RR, Kar, S. Stent fracture associated with drug-eluting stents: clinical characteristics and implications. Catheter Cardiovasc Interv 2007; 69: 387394.CrossRefGoogle ScholarPubMed
7.Tsuda, E, Kitamura, S. National survey of coronary artery bypass grafting for coronary stenosis caused by Kawasaki disease in Japan. Circulation 2004; 110: II61II66.CrossRefGoogle ScholarPubMed