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Chirurgia 2010 August;23(4):123-6

language: English

Left anterior descending artery dissection in a patient with Kawasaki’s disease

Blasberg J. D., Schwartz G. S., Balaram S. K.

Division of Cardiothoracic Surgery, Department of General Surgery, St Luke’s Roosevelt Medical Center, Columbia University College of Physicians and Surgeons, New York, NY, USA


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Dissection of the left anterior descending artery (LAD) in a patient with Kawasaki’s disease is a rare clinical entity which has only previous been described in an autopsy series. Immediate recognition of this pathology by physical exam, EKG, and cardiac catheterization allows urgent life-sustaining coronary artery bypass surgery. We present a case of a female patient who presented to the emergency room with complaints of mid-scapular back pain, chest pain, nausea, and vomiting, discovered to be due to a proximal LAD dissection and associated thrombosis. Coronary artery bypass surgery (CABG) was immediately performed to successfully treat this unusual complication of Kawasaki’s disease.

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