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Treatment of a Coronary Arterial Stenosis in a Child with Kawasaki Disease by Percutaneous Transluminal Coronary Angioplasty : Case Report and Literature Review

Journal of the Korean Pediatric Society 1999;42(6):883-888.
Published online June 15, 1999.
Treatment of a Coronary Arterial Stenosis in a Child with Kawasaki Disease by Percutaneous Transluminal Coronary Angioplasty : Case Report and Literature Review
Man-Tak Oh1, Eun-Jung Bae1, Do-Jun Cho1, In-Seung Park1, Seong-Ho Kim1, Heung-Gon Hwang2
1Department of Pediatrics, Sejong General Hospital, Puchon, Korea
2Department of Internal Medicine, Sejong General Hospital, Puchon, Korea
관상동맥 협착이 발생한 가와사끼병 환자에서 경피적 경혈관 관상동맥확장술 치험의 1례
오만택1, 배은정1, 조도준1, 박인승1, 김성호1, 황흥근2
1부천세종병원 소아과
2부천세종병원 내과
Correspondence: 
Man-Tak Oh, Email: 1
Abstract
Percutaneous transluminal coronary angioplasty(PTCA) is rarely performed on patients with coronary arterial stenosis that resulted from Kawasaki disease. We experienced a 3 year 10-month- old male with a history of Kawasaki disease who developed a few numbers of fusiform aneurysm on the right and left coronary artery. We examined and followed up the patient for 21 months using eletrocardiography, echocardiography, scintigraphy, and coronary angiography. The angiography was performed at 4 months initially and repeated 21 months after the onset because of a perfusion defect at scintigraphy. A significant stenotic lesion was found on the right coronary artery. Twenty-one months after the onset, the stenotic lesion was successfully dilated after percutaneous transluminal coronary angioplasty and luminal patency was maintained for over 1 year. We report this case and a review of literatures.
Key Words: Kawasaki disease, Percutaneous transluminal coronary angioplasty(PTCA)


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