Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
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 polyurethane-covered
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 thr ...
Source: Brazilian Journal of Cardiovascular Surgery - Category: Cardiology Source Type: research
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