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A Journal on Surgery

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Chirurgia 2011 June;24(3):169-71

language: English

Surgical management of coronary aneurysms in an adult with Kawasaki disease

Doguet F. 1,2, Smail H. 1, Le Guillou V. 1, Bessou J. P. 1

1 Department of Thoracic and Cardiovascular Surgery, Rouen University Hospital, Rouen, France
2 INSERM U644, Institute for Biomedical Research, Rouen, France


Coronary artery aneurysms are rare clinical entities, especially those involving three vessels. Optimum management is not clearly defined. We describe the case of a 64-year-old man with atypical angina pectoris due to obstructive aneurysms of the right, circumflex, and left anterior descending (LAD) arteries associated with Kawasaki disease. To avoid rupture and embolization, successful ligation of the left main coronary artery and LAD aneurysm was performed, combined with a triple coronary artery bypass graft. Complete imaging of the lesions by computed tomography and the possibility of revascularization allowed us to define the surgical strategy.

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