New coronary aneurysm formation and malapposition after zotarolimus-eluting stent implantation in Kawasaki disease.

Abstract

Coronary artery involvement is the most important complication of Kawasaki disease. Coronary artery bypass surgery has been performed for ischemic heart disease caused by Kawasaki disease, however, long-term coronary graft patency is not satisfactory. Therefore, percutaneous coronary intervention (PCI) has its role in Kawasaki disease-related coronary artery disease. The incidence of new aneurysm is lower following stent implantation than balloon dilatation alone, even if a higher balloon pressure is applied. However, there are few reports about the efficacy of drug-eluting stent implantation for Kawasaki disease with coronary artery disease. Here, we describe a case of new coronary aneurysm formation and malapposition after zotarolimus-eluting stent implantation in Kawasaki disease. <Learning objective: New aneurysm formation after balloon angioplasty for coronary artery lesions in Kawasaki disease is a relatively well-known phenomenon, however there have been no reports about the influence of drug-eluting stents for coronary artery disease with Kawasaki disease. This report is useful when we consider strategies of revascularization for coronary artery disease with Kawasaki disease.>.

• Authors: Toshiki Sawai, Takashi Tanigawa, Jun Masuda, Norikazu Yamada, Masatoshi Miyahara, Mashio Nakamura, Masaaki Ito
• Journal: Journal of cardiology cases (J Cardiol Cases) Vol. 8 Issue 3 Pg. 118-120 (Sep 2013) ISSN: 1878-5409 [Electronic] Japan
• PMID: 30546760 (Publication Type: Journal Article)