Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
Autor(a) principal: | |
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Data de Publicação: | 2019 |
Outros Autores: | , , |
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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Brazilian Journal of Cardiovascular Surgery (Online) |
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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 |
_version_ |
1752126600351055872 |