Coronary artery bypass grafting, endarterectomy, and aneurysmorrhaphy for Kawasaki disease in an infant

Erkut Öztürk; Okan Yıldız; Selen Onan; Sertaç Haydin; Alper Güzeltaş

doi:10.5606/tgkdc.dergisi.2016.11234

Erkut Öztürk¹, Okan Yıldız², Selen Onan², Sertaç Haydin², Alper Güzeltaş¹

¹Departments of Pediatric Cardiology, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey
²Departments of Cardiovascular Surgery, İstanbul Mehmet Akif Ersoy Thoracic and Cardiovascular Surgery Training and Research Hospital, İstanbul, Turkey

DOI : 10.5606/tgkdc.dergisi.2016.11234

In this article, we report an infant case of delayed diagnosis of Kawasaki disease. Despite intravenous immunoglobulin, acetylsalicylic acid, immunosupressive and anticoagulant therapy agents, ischemic alterations on electrocardiography and a persistent giant aneurysm in coronary arteries and with a trombus in the left anterior descending artery on repeated echocardiographies were detected. Computed tomography angiography and conventional angiography confirmed the diagnosis. Coronary artery bypass grafting, endarterectomy, and aneurysmorrhaphy were successfully performed at one year of age. The case still remains uneventful during outpatient clinic visits after discharge.

Keywords : Coronary artery bypass grafting; infant; Kawasaki disease

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