Percutaneous Transluminal Coronary Angioplasty in a Patient with Kawasaki Disease A Case Report of an Unsuccessful Angioplasty

Hiromi NISHIMURA; Takahisa SAWADA; Akihiro AZUMA; Yoshio KOHNO; Hiroshi KATSUME; Masao NAKAGAWA; Koichi SAKATA; Kenji HAMAOKA; Zenshiro ONOUCHI

doi:10.1536/ihj.33.869

Percutaneous Transluminal Coronary Angioplasty in a Patient with Kawasaki Disease

A Case Report of an Unsuccessful Angioplasty

Hiromi NISHIMURA, Takahisa SAWADA, Akihiro AZUMA, Yoshio KOHNO, Hiroshi KATSUME, Masao NAKAGAWA, Koichi SAKATA, Kenji HAMAOKA, Zenshiro ONOUCHI

Author information

Hiromi NISHIMURA
Second Department of Medicine, Kyoto Prefectural University of Medicine
Takahisa SAWADA
Second Department of Medicine, Kyoto Prefectural University of Medicine
Akihiro AZUMA
Second Department of Medicine, Kyoto Prefectural University of Medicine
Yoshio KOHNO
Second Department of Medicine, Kyoto Prefectural University of Medicine
Hiroshi KATSUME
Second Department of Medicine, Kyoto Prefectural University of Medicine
Masao NAKAGAWA
Second Department of Medicine, Kyoto Prefectural University of Medicine
Koichi SAKATA
Division of Pediatric Medicine, Children's Research Hospital, Kyoto Prefectural University of Medicine
Kenji HAMAOKA
Division of Pediatric Medicine, Children's Research Hospital, Kyoto Prefectural University of Medicine
Zenshiro ONOUCHI
Division of Pediatric Medicine, Children's Research Hospital, Kyoto Prefectural University of Medicine

Keywords: Percutaneous transluminal coronary angioplasty, Kawasaki disease

JOURNAL FREE ACCESS

1992 Volume 33 Issue 6 Pages 869-873

DOI https://doi.org/10.1536/ihj.33.869

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Abstract

A 13-year-old boy with severe coronary stenosis due to Kawasaki disease underwent percutaneous transluminal coronary angioplasty (PTCA). The guide wire and the balloon catheter easily passed through the stenosis in the left anterior descending artery. However, effective dilatation could not be achieved even when the balloon size was increased to 2.5mm in diameter. We discontinued further inflation of the balloon because serious resistance was encountered on withdrawal of the balloon catheter. In patients with Kawasaki disease, the value of PTCA as a treatment for coronary stenosis is questionable.

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