Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report

Detalhes bibliográficos
Autor(a) principal: Barca,Laura Varela
Data de Publicação: 2019
Outros Autores: López-Menéndez,José, Palacios,Ana Redondo, Stuart,Jorge Rodríguez-Roda
Tipo de documento: Relatório
Idioma: eng
Título da fonte: Brazilian Journal of Cardiovascular Surgery (Online)
Texto Completo: http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000100111
Resumo: Abstract 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 through the reopened stent. LMA was ligated at the inflow of the aneurysm, resulting in an improvement of graft flow. Left main ligature has not been previously reported.
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spelling Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case ReportMucocutaneous Lymph Node SyndromeAcute Coronary SyndromeCoronary AneurysmCoronary Artery Bypass, Off-PumpAbstract 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 through the reopened stent. LMA was ligated at the inflow of the aneurysm, resulting in an improvement of graft flow. Left main ligature has not been previously reported.Sociedade Brasileira de Cirurgia Cardiovascular2019-02-01info:eu-repo/semantics/reportinfo:eu-repo/semantics/publishedVersiontext/htmlhttp://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000100111Brazilian Journal of Cardiovascular Surgery v.34 n.1 2019reponame:Brazilian Journal of Cardiovascular Surgery (Online)instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)instacron:SBCCV10.21470/1678-9741-2018-0029info:eu-repo/semantics/openAccessBarca,Laura VarelaLópez-Menéndez,JoséPalacios,Ana RedondoStuart,Jorge Rodríguez-Rodaeng2019-02-21T00:00:00Zoai:scielo:S0102-76382019000100111Revistahttp://www.rbccv.org.br/https://old.scielo.br/oai/scielo-oai.php||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br1678-97410102-7638opendoar:2019-02-21T00:00Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)false
dc.title.none.fl_str_mv Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
title Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
spellingShingle Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
Barca,Laura Varela
Mucocutaneous Lymph Node Syndrome
Acute Coronary Syndrome
Coronary Aneurysm
Coronary Artery Bypass, Off-Pump
title_short Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
title_full Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
title_fullStr Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
title_full_unstemmed Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
title_sort Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
author Barca,Laura Varela
author_facet Barca,Laura Varela
López-Menéndez,José
Palacios,Ana Redondo
Stuart,Jorge Rodríguez-Roda
author_role author
author2 López-Menéndez,José
Palacios,Ana Redondo
Stuart,Jorge Rodríguez-Roda
author2_role author
author
author
dc.contributor.author.fl_str_mv Barca,Laura Varela
López-Menéndez,José
Palacios,Ana Redondo
Stuart,Jorge Rodríguez-Roda
dc.subject.por.fl_str_mv Mucocutaneous Lymph Node Syndrome
Acute Coronary Syndrome
Coronary Aneurysm
Coronary Artery Bypass, Off-Pump
topic Mucocutaneous Lymph Node Syndrome
Acute Coronary Syndrome
Coronary Aneurysm
Coronary Artery Bypass, Off-Pump
description Abstract 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 through the reopened stent. LMA was ligated at the inflow of the aneurysm, resulting in an improvement of graft flow. Left main ligature has not been previously reported.
publishDate 2019
dc.date.none.fl_str_mv 2019-02-01
dc.type.driver.fl_str_mv info:eu-repo/semantics/report
dc.type.status.fl_str_mv info:eu-repo/semantics/publishedVersion
format report
status_str publishedVersion
dc.identifier.uri.fl_str_mv http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000100111
url http://old.scielo.br/scielo.php?script=sci_arttext&pid=S0102-76382019000100111
dc.language.iso.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv 10.21470/1678-9741-2018-0029
dc.rights.driver.fl_str_mv info:eu-repo/semantics/openAccess
eu_rights_str_mv openAccess
dc.format.none.fl_str_mv text/html
dc.publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
publisher.none.fl_str_mv Sociedade Brasileira de Cirurgia Cardiovascular
dc.source.none.fl_str_mv Brazilian Journal of Cardiovascular Surgery v.34 n.1 2019
reponame:Brazilian Journal of Cardiovascular Surgery (Online)
instname:Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron:SBCCV
instname_str Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
instacron_str SBCCV
institution SBCCV
reponame_str Brazilian Journal of Cardiovascular Surgery (Online)
collection Brazilian Journal of Cardiovascular Surgery (Online)
repository.name.fl_str_mv Brazilian Journal of Cardiovascular Surgery (Online) - Sociedade Brasileira de Cirurgia Cardiovascular (SBCCV)
repository.mail.fl_str_mv ||rosangela.monteiro@incor.usp.br|| domingo@braile.com.br|| brandau@braile.com.br
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