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A Journal on Surgery
Indexed/Abstracted in: EMBASE, Scopus, Emerging Sources Citation Index
Chirurgia 2008 December;21(6):381-3
The combination of coronary artery and common iliac artery disease induced by Kawasaki disease. A case report
Hachimaru T., Watanabe M., Nakahara H., Kawaguchi S.
Department of Cardiovascular Surgery, Tokyo Metropolitan Hiroo General Hospital, Tokyo, Japan
A 24-year-old male patient was diagnosed with coronary artery and common iliac ectasia after Kawasaki disease. Symptoms occur in subsequent stage, beginning with intermittent claudication and effort angina. Coronary artery disease and common iliac artery disease had progressed. Therefore, a two-vessel coronary artery bypass grafting and aorto-biiliac artery bypass grafting were performed. We describe a single case of Kawasaki disease with the rare complication of common iliac artery aneurysm and stenosis which was surgically repaired. This is the first known case report of Kawasaki disease resulting in delayed lower extremity ischemia induced by common iliac arterial lesion. Typical findings of patients with Kawasaki disease are presented, along with a case report and review of the literature. A history of Kawasaki disease is an extremely rare but possible cause of lower extremity ischemia.