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© 2019. This work is published under https://creativecommons.org/licenses/by/4.0/deed.en (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.

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.

Details

Title
Ligature of the Left Main Coronary Artery after Surgery in Kawasaki Disease: Case Report
Author
Barca, Laura Varela; López-Menéndez, José; Palacios, Ana Redondo; Stuart, Jorge Rodríguez-Roda
Publication year
2019
Publication date
2019
Publisher
Sociedade Brasileira de Cirurgia Cardiovascular
ISSN
01027638
e-ISSN
16789741
Source type
Scholarly Journal
Language of publication
English
ProQuest document ID
2313415360
Copyright
© 2019. This work is published under https://creativecommons.org/licenses/by/4.0/deed.en (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License.