Key result
Triple anticoagulation fails to prevent progressive thrombus and MI in pediatric Kawasaki disease, necessitating CABG.
Population
A 5-year-old girl with KD associated giant CAAs
Design
Case report
Authors
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Triple anticoagulation may fail in giant aneurysms; leaves open optimal strategies and timing of bypass pending larger studies.
Case Report (n=1)
No
Intensive anticoagulation and thrombolysis may be insufficient to prevent thrombotic occlusion in giant coronary aneurysms associated with Kawasaki disease, potentially necessitating surgical revascularization.
Stijn et al. (2022) conducted a case report in Kawasaki disease with giant coronary artery aneurysms (n=1). Triple anticoagulation therapy and CABG was evaluated. A 5-year-old girl with Kawasaki disease and giant coronary artery aneurysms experienced progressive thrombus growth and myocardial infarction despite triple anticoagulation therapy, ultimately requiring coronary artery bypass grafting.
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