Coronary sequelae of Kawasaki disease treated with rotational atherectomy and drug coated balloon: A case report.
Medicine (Baltimore)
; 99(1): e18371, 2020 Jan.
Article
em En
| MEDLINE
| ID: mdl-31895771
ABSTRACT
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 1.25âmm burr, pre-dilatation of the stenosis lesion with a 3.5âmmâ×â15âmm non-compliant balloon was achieved. Then 3.5âmmâ×â15âmm drug eluting balloon was inflated at 10âatm for 60âseconds.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.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Tipo de estudo:
Etiology_studies
Limite:
Adult
/
Humans
/
Male
Idioma:
En
Ano de publicação:
2020
Tipo de documento:
Article