川崎病发病19年后因冠状动脉瘤血栓形成阻塞并发急性心肌梗死。

Kawasaki disease complicated by acute myocardial infarction due to thrombotic occlusion of coronary aneurysms 19 years after onset.

作者信息

Kodama K, Okayama H, Tamura A, Suetsugu M, Honda T, Doiuchi J, Hamada N, Nomoto R, Akamatsu A, Jo T

机构信息

Department of Internal Medicine, Ehime Prefectural Central Hospital, Matsuyama, Japan.

出版信息

Intern Med. 1992 Jun;31(6):774-7. doi: 10.2169/internalmedicine.31.774.

DOI:10.2169/internalmedicine.31.774

PMID:1392180

Abstract

A 25-year-old man with a history of Kawasaki disease from the age of 7 had acute inferior myocardial infarction. Emergency right coronary arteriogram showed successive coronary aneurysms at the proximal to middle portion of the right coronary artery, and total occlusion at the proximal segment. Intracoronary thrombolysis was performed and the right coronary artery was recanalized. On left coronary arteriography, coronary aneurysms and mild localized stenoses at the inlet and outlet of the aneurysms were found. It was suggested that the myocardial infarction was caused by thrombotic occlusion of coronary aneurysms complicated with Kawasaki disease.

摘要

一名25岁男性，自7岁起患有川崎病，发生急性下壁心肌梗死。急诊右冠状动脉造影显示右冠状动脉近端至中段连续存在冠状动脉瘤，近端节段完全闭塞。进行了冠状动脉内溶栓治疗，右冠状动脉再通。左冠状动脉造影显示冠状动脉瘤以及动脉瘤入口和出口处轻度局限性狭窄。提示心肌梗死是由川崎病并发冠状动脉瘤血栓形成闭塞所致。