[Aortocoronary bypass in a child with Kawasaki disease: the follow-up results].

The Kawasaki disease (mucocutaneous lymph node syndrome) usually affects children younger than 5 years, and is considered one of the most important causes of myocardial infarction in children. Some disagreement still exists regarding the following: the selection, surgery techniques, and follow-up outcomes of aortocoronary bypass grafting in Kawasaki disease. We describe the case of a three-year-old child with Kawasaki disease and with left and right multiple aneurysms, suffering from an antero-lateral myocardial infarction and inferior reinfarction. After thrombolytic treatment and coronary arteriography, left anterior descending aortocoronary bypass grafting was performed by using the autologous saphenous vein. After two years clinical, angiographic, ergometric and echocardiographic examinations show good surgical results with a global and regional kinesis improvement.