Key result
ECMO and CABG rescue a pediatric patient with ruptured Kawasaki disease coronary aneurysm.
Why the study?
Coronary artery aneurysm rupture in Kawasaki disease is extremely rare, with only 2 reported cases where patients survived.
Case Report (n=1)
No
This case report highlights the rare occurrence of a ruptured coronary artery aneurysm in Kawasaki disease and its management with CABG and ECMO.
Answers are grounded in this paper and cite their sources.
May support ECMO and CABG as salvage options in ruptured Kawasaki aneurysms; hypothesis-generating given extreme rarity.
Coronary artery aneurysm occurs in 0.3%-0.8% of patients with Kawasaki disease, and cases of rupture are extremely rare. Only 2 cases have been reported in which the patients survived. We report a case of ruptured coronary artery aneurysm that was treated with coronary artery bypass grafting and extracorporeal membrane oxygenation. (Level of Difficulty: Advanced.)
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Suzuki et al. (2022) conducted a case report in Ruptured coronary artery aneurysm secondary to Kawasaki disease (n=1). Coronary artery bypass grafting (CABG) and extracorporeal membrane oxygenation (ECMO) was evaluated. A 3-year-old boy with a ruptured coronary artery aneurysm secondary to Kawasaki disease survived after being managed with extracorporeal membrane oxygenation and coronary artery bypass grafting.
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