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Atypical Kawasaki disease: A patient with coronary, brain, and internal mammary arteritis
Author(s) -
Hamasaki Azumi,
Uchida Tetsuro,
Kuroda Yoshinori,
Ishizawa Ai,
Sadahiro Mitsuaki
Publication year - 2019
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/jocs.14025
Subject(s) - medicine , kawasaki disease , coronary arteries , cardiology , gastroepiploic artery , cerebral arteries , angina , mammary artery , coronary artery disease , artery , radiology , bypass grafting , myocardial infarction
Here we report a rare case of atypical Kawasaki disease (KD) in a patient presenting with systemic arteritis affecting the coronary arteries, brain, and internal mammary arteries (IMAs). A 25‐year‐old man was referred to our institute with angina pectoris. Coronary angiography revealed coronary artery aneurysms and triple‐vessel disease. Three‐dimensional brain computed tomography showed multiple small saccular aneurysms on the vertebral and posterior inferior cerebellar arteries. Off‐pump coronary artery bypass (OPCAB) grafting was performed; however, the bilateral IMAs were tightly adhered and not patent. OPCAB was completed using the bilateral radial and gastroepiploic arteries. This is the first report of KD involving the IMA.