Myocardial infarction due to thrombotic occlusion despite anticoagulation in Kawasaki disease - a case report.

ABSTRACT:

Background

Kawasaki disease (KD) is a pediatric vasculitis. Mainly the coronary arteries become affected due to acute inflammation and formation of coronary artery aneurysms (CAAs) can occur. The larger the CAA, the higher the risk for clinical complications and major adverse cardiac events, as the blood flow changes to vortex or turbulent flow facilitating thrombosis. Such patients may develop life threatening thrombotic coronary artery occlusion and myocardial ischemiaunless anti-platelet and anti-coagulation therapy is timely initiated.

Case presentation

We present a unique case of a 5-year-old girl with KD associated giant CAAs suffering from myocardial ischemia due to acute progressive thrombus growth despite intensive anticoagulation treatment (acetylsalicylic acid, ac

SUBMITTER: van Stijn D 

PROVIDER: S-EPMC8840548 | biostudies-literature | 2022 Feb

REPOSITORIES: biostudies-literature