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Cardiovascular complications after Kawasaki disease and its management

Korean Journal of Pediatrics 2008;51(5):462-467.
Published online May 15, 2008.
Cardiovascular complications after Kawasaki disease and its management
Gi Young Jang
Department of Pediatrics, College of Medicine, Korea University, Ansan, Korea
가와사끼병의 심혈관계 합병증 및 치료
장기영
고려대학교 의과대학 소아과학교실
Correspondence: 
Gi Young Jang, Email: jpynhg@dreamwiz.com
Abstract
Kawasaki disease is a systemic vasculitis of unknown etiology, usually occurring in infants and young children. Although the etiology of Kawasaki disease remains uncertain, its serious complicationssuch as giant aneurysm formation, coronary arterial stenotic lesions, and thrombotic occlusionhave been proven to cause myocardial ischemia or infarction in patients with Kawasaki disease. To prevent and treat these complications, several modes of therapyincluding long-term anticoagulation, interventional catheterization, and surgical treatmenthave been gradually developed. In this article, we review the cardiovascular complications following Kawasaki disease and the management thereof, which includes thrombolytic therapy, catheter intervention, and coronary artery bypass graft.
Key Words: Kawasaki disease, Complications, Management


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