Key result
A 36-year-old male with recurrent acute coronary syndrome due to Kawasaki disease-related coronary aneurysm was successfully managed with balloon angioplasty, thrombus aspiration, and medical therapy without stenting.
Case Report (n=1)
No
This case highlights the importance of considering Kawasaki disease in young patients presenting with acute coronary syndrome and demonstrates successful management using thrombus aspiration and medical therapy without stenting.
Supports non-stent management in select young ACS cases from KD; leaves open optimal strategies and generalizability.
The clinical presentation of Kawasaki disease (KD) is variable and clinical implication among adults is rarely important but coronary involvement. Here we report a young patient showing recurrent acute coronary syndrome (ACS) who had a history of high-grade fever and conjunctivitis when he was little. Coronary angiography revealed aneurysmal coronary artery change in this patient. There is no particular consensus on guidelines for treatment for KD in case of coronary aneurysm causing ACS. In this case, we treated him medically without stent implantation successfully.
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Ju et al. (2014) conducted a case report in Acute Coronary Syndrome (n=1). Balloon angioplasty, thrombus suction, and medical therapy was evaluated on Clinical resolution. A 36-year-old male with recurrent acute coronary syndrome due to Kawasaki disease-related coronary aneurysm was successfully managed with balloon angioplasty, thrombus aspiration, and medical therapy without stenting.
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