Journal of Chest Surgery

The Korean Society for Thoracic and Cardiovascular Surgery (대한심장혈관흉부외과학회)
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CABG for an Adult with Coronary Disease due to Kawasaki Disease

성인기 가와사키병에 합병된 관상동맥 질환에서의 관상동맥 우회술

  • Song, Hyun (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Kim, Sang-Pil (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University) ;
  • Ryu, Sang-Wan (Department of Thoracic & cardiovascular Surgery, Asan Medical Center, Ulsan University)
  • 송현 (서울 중앙병원 흉부외과, 울산대학교) ;
  • 김상필 (서울 중앙병원 흉부외과, 울산대학교) ;
  • 류상완 (서울 중앙병원 흉부외과, 울산대학교)
  • Published : 1999.09.01
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Abstract

The Kawasaki disease has been reported worldwide since the first description in 1967 in Japan. Approximately 20% of the children with untreated Kawasaki disease are believed to develop coronary artery aneurysm of which 2-3% progress to coronary artery stenosis. The Kawasaki disease rarely affects adults and accordingly, there have been only a few cases reported in literatures. The present case describes a successful surgical treatment of a 43-year-old female patient with coronary artery aneurysm and stenosis, which resulted from an episode of the Kawasaki disease that occurred 20 years earlier. The patient was well at 5 months followup.

가와사키병은 1967년 일본에서 처음 발표된 이후 전세계적으로 그 발생이 알려져 왔다. 소아 환자에서 치료받지 않는 경우 약 20%에서 관상동맥류가 발생하며, 그 중 2-3%에서 관상동맥협착이 발생한다고 알 려져 있다. 아직까지 성인에서는 가와사키병의 발생에 대한 보고가 많지 않은 상태이다. 본 증례는 43세 여자환자로 20여년 전 앓았던 것으로 생각되는 가와사키 늉\ulcorner의해 관상동맥류 및 협착증이 발생하여 좌 측 내유동맥, 우 위대망동맥, 대복재정맥을 이용하여 관상동맥 우회술을 시행하였으며, 수술후 5개월간 추적중 양호한 상태이다.

Keywords

References

  1. Pediatrics v.54 A new infantile acute febrile mucocutaneous lymph node syndrome(MLNS) prevailing in Japan Kawasaki T;Kosaki I;Okawa S;Shigematsu I;Yamagawa H
  2. Heart disease(5th ed.) Braunwald E
  3. J Pediatr v.121 Serial changes of serum interleukin-6, interleukin-8, and tumor necrosis factor alpha among patients with Kawasaki disease Lin CY;Lin CC;Hwang B;Chiang B
  4. Pediatrics Res v.35 Increased expression of human 63-KD heat shock protein gene in Kawasaki disease determined by quantitative reverse transcription-polymerase chain reaction Takehita S;Kawase H;Yamamoto M(et al)
  5. J Thorac Cardiovasc Surg v.107 Long-term outcome of myocardial revasculaization in patients with Kawasaki coronary artery disease Kitamura S;Kameda Y;Seki T;Kawachi K(et al)
  6. Am J Cardiology v.49 Fate of coronary artery aneurysm in Kawasaki syndrme: Serial coronary angiography and long-term follow-up study Kato H;Ichinose E;Oshioka F(et al)
  7. Heart Vessels v.1 Indication of aortocoronary bypass for coronary arterial obstrucion due to Kawasaki disease Susuki A;Kamiya T;Ono Y(et al)
  8. Am J Med v.62 Coronary artery aneurysm: Study of the ethiology, clinical course and effort on left ventricular function and prognosis Befeler B;Aranda JM;Embi A(et al)