가와사끼병의 기왕력을 가진 15세 소아에서 발생한 관동맥 협착질환에서의 스텐트 삽입술

Abstract

Kawasaki disease is an acute febrile illness frequently developed in infants and children. This disease may involve coronary arteries in 15-25% of the patients and may progress to coronary aneurysms, ischemic cardiac diseases, and sudden cardiac death. Recently we experienced successful balloon angioplasty followed by coronary stenting in a 15-year old boy with unstable angina secondary to Kawasaki disease. He was diagnosed as unstable angina by 24 hours Holter monitoring, treadmill exercise stress test, echocardiography, and Dipyridamole 99mTc-sestamibi scan. And coronary angiogram revealed severe multiple stenosis and aneurysmal changes due to Kawasaki disease. We successfully performed a percutaneous transluminal coronary angioplasty with stent implantation in the left circumflex arterial lesion. (Korean Circulation J 2000;30(10): 1300-1306)