Why the study?
Diagnosing Kawasaki Disease late can lead to coronary artery disease, presenting unique clinical and angiographic challenges in young patients.
This case highlights the potential need for CABG using bilateral internal mammary arteries in young adolescents with coronary artery disease secondary to late-diagnosed Kawasaki Disease.
Late KD diagnosis risks CAD in adolescents; this case leaves open optimal management and angiographic progression.
Kawasaki Disease (KD) is an immunological disease which affects mainly children and young adolescents. This disease has its own challenges; mainly diagnosis and subsequently the importance of starting treatment early to prevent coronary artery disease later on in their life. This case report intends to describe a young adolescent who was diagnosed late, and eventually developed coronary artery disease. This study also highlights the angiographic changes that can be observed in the coronaries. In this case, the patient underwent coronary artery bypass surgery (CABG), utilizing bilateral internal mammary arteries.
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Petra et al. (2021) studied this question.
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