Key result
Rotational ablation followed by stent placement was performed in a 5-year-old child with severe calcific coronary artery stenosis after Kawasaki disease, following critical restenosis.
Case Report (n=1)
This case demonstrates the feasibility of rotational ablation and coronary stenting for severe calcific coronary artery stenosis in a very young child (5 years old) following Kawasaki disease.
May support feasibility in select pediatric Kawasaki cases; leaves open durability, safety, and generalizability.
We report on a 5-year-old child who had an episode of Kawasaki disease with giant coronary artery aneurysms at the age of 4 months. Surveillance coronary angiography showed severe calcific stenosis in the proximal left anterior descending artery. Balloon angioplasty failed to resolve the obstruction. Rotational ablation was therefore performed. Surveillance angiogram performed 6 months after rotational ablation showed critical restenosis. Rotational ablation was therefore repeated, followed by stent placement. To the best of our knowledge, this is the youngest child who has undergone coronary stenting after Kawasaki disease.
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Peters et al. (2002) conducted a case report in Severe calcific coronary artery stenosis after Kawasaki disease (n=1). Rotational ablation and stent placement was evaluated on Resolution of obstruction. Rotational ablation followed by stent placement was performed in a 5-year-old child with severe calcific coronary artery stenosis after Kawasaki disease, following critical restenosis.
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