Mandal Saroj, Pande Arindam, Mandal Debosmita, Sarkar Achyut, Kahali Dhiman, Panja Manotosh
Department of Cardiology, IPGMER and SSKM Hospital, Kolkata, West Bengal, India .
J Cardiovasc Dis Res. 2012 Jul;3(3):231-5. doi: 10.4103/0975-3583.98900.
Kawasaki disease is a generalized systemic vasculitis of unknown etiology involving medium and small size blood vessels throughout the body, virtually always involving the coronaries. In many part of this world, it is more common than rheumatic fever and viral myocarditis. Here, we are reporting 5 cases with history suggestive of Kawasaki disease in the early life, presenting with different coronary artery abnormalities. One of the patients had left main coronary artery cut-off, and the remaining 4 had some form of coronary artery aneurysms. 3 patients were given medical management, 1 patient had coronary bypass grafting, and the remaining 1 was planned for surgical correction. All the patients were stable on subsequent follow-ups.
川崎病是一种病因不明的全身性血管炎，累及全身中小血管，几乎总是累及冠状动脉。在世界上许多地区，它比风湿热和病毒性心肌炎更常见。在此，我们报告5例早年有川崎病病史提示、伴有不同冠状动脉异常表现的病例。其中1例患者左冠状动脉主干中断，其余4例有某种形式的冠状动脉瘤。3例患者接受了药物治疗，1例患者进行了冠状动脉搭桥手术，其余1例计划进行手术矫正。所有患者在随后的随访中病情稳定。
