Successful Catheter Interventional Therapy for Acute Coronary Syndrome Secondary to Kawasaki Disease in Young Adults

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概要

• 論文の詳細を見る

• Acute coronary syndrome occurred in 2 young adults who had a history of Kawasaki disease (KD), but few other coronary risk factors. The first patient was a 27-year-old male with acute myocardial infarction without stenosis detected by coronary arteriography 4 years earlier. Emergency coronary arteriography showed occlusion of the right coronary artery. Aspiration-thrombectomy and rescue balloon angioplasty were successfully performed. The second patient was a 32-year-old male with unstable angina. Right coronary arteriography showed total occlusion with severe calcification. Left coronary arteriography showed 99% stenosis at the proximal site of the circumflex artery, and a directional coronary atherectomy was performed. Histological examination of a specimen from this site revealed a lipid core, macrophages, and smooth muscle cells. Restcnosis was not observed on follow-up coronary arteriography after 5-6 months in either case. The coronary stenosis in each case was probably caused by accelerated athcrosclerosis at the site withou aneurysm as it seemed to be 'normal' on arteriography. Conventional catheter intervention was effective treatment. The sequelae of KD should be recognized as independent coronary risk factors.(Circ J 2003; 67: 362-365)

• 社団法人日本循環器学会の論文
• 2003-03-20

著者

• Hazui Hiroshi

  Department of Emegency Medicine, Osaka Mishima Emergency and Critical Care Center

• Hoshiga Masaaki

  First Department of Internal Medicine, Osaka Medical College

• Ishihara Tadashi

  First Department of Internal Medicine, Osaka Medical College

• HANAFUSA Toshiaki

  First Department of Internal Medicine, Osaka Medical College

• Okabe Taichi

  First Internal Medicine, Osaka Medical College

• Nariyama Jin

  Department of Cardiology, Osaka Railway Hospital

• Hazui Hiroshi

  Osaka Mishima Emergency and Critical Care Medical Center

• Nariyama Jin

  Department Of Cardiology Osaka Railway Hospital

• Negoro Nobuyuki

  First Department of Internal Medicine, Osaka Medical College

• Morita Hiroshi

  Osaka Mishima Critical Care Medical Center

• KATAYAMA Hiroshi

  Department of Pediatrics, Osaka Medical College

• Nakagawa Atsushi

  The First Department Of Internal Medicine Osaka Medical College

• Morita Hiroshi

  Department Of Emergency Medicine Osaka Medical College

• Hanafusa Toshiaki

  First Department Of Internal Medicine Osaka Medical College

• Hazui Hiroshi

  Department Of Emegency Medicine Osaka Mishima Emergency And Critical Care Center

• Katayama Hiroshi

  Department Of Emergency Medicine Osaka Mishima Emergency And Critical Care Center

• Okabe Taichi

  First Internal Medicine Osaka Medical College

• Hoshiga Masaaki

  First Department Of Internal Medicine Osaka Medical College

• Negoro Nobuyuki

  1st Department Of Internal Medicine Osaka Medical College

• Negoro Nobuyuki

  First Department Of Internal Medicine Osaka Medical College

• Ishihara Tadashi

  Department Of First Internal Medicine Osaka Medical College

• Ishihara Tadashi

  First Department Of Internal Medicine Osaka Medical College

• Nakagawa Atsushi

  First Department of Internal Medicine, Osaka Medical College

• Nariyama Jin

  First Department of Internal Medicine, Osaka Medical College

• Yokota Naohito

  First Department of Internal Medicine

• Kojima Shigeyuki

  First Department of Internal Medicine

• Nakagawa Atsushi

  First Department Of Internal Medicine Nissay Hospital

• Miyoshi Hironori

  Cardiovascular Division Department Of Medicine Ii Kansai Medical University

• Katayama Hiroshi

  Department Of Anesthesiology And Resuscitology Okayama University Medical School

• Katayama Hiroshi

  Department Of Anesthesiology And Resuscitology Okayama University Graduate School Of Medical Dentist

• Katayama Hiroshi

  Department Of Anesthesiology And Intensive Care Medicine Kawasaki Medical School

• Okabe Taichi

  First Department of Internal Medicine, Osaka Medical College

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