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- Title
Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report.
- Authors
Barca, Laura Varela; López-Menéndez, José; Palacios, Ana Redondo; Stuart, Jorge Rodríguez-Roda
- Abstract
We report a case of a 23-year-old man who was diagnosed with Kawasaki disease that progressed to a coronary aneurysm in the left main coronary artery (LMA). He had suffered from acute coronary syndrome and then underwent an emergent percutaneous coronary angioplasty, in which a polyurethanecovered stent was placed inside the aneurysm. The stent was thrombosed one year later, despite the patient had been treated with anticoagulant and antiplatelet therapy. Emergency percutaneous intervention was then performed. LMA was reopened and stent malposition was observed. Therefore, urgent coronary bypass grafting was performed in which a high degree of competitive flow was observed through the reopened stent. LMA was ligated at the inflow of the aneurysm, resulting in an improvement of graft flow. Left main ligature has not been previously reported.
- Subjects
INTERNAL thoracic artery; CORONARY artery surgery; MUCOCUTANEOUS lymph node syndrome; REPORTING of diseases; ACUTE coronary syndrome; CORONARY artery bypass; CORONARY arteries
- Publication
Brazilian Journal of Cardiovascular Surgery, 2019, Vol 34, Issue 1, p111
- ISSN
0102-7638
- Publication type
Article
- DOI
10.21470/1678-9741-2018-0029