Coronary Aneurysm after Excimer Laser Catheter Ablation and Plain Balloon Angioplasty for Chronic Total Occlusion in a Patient with Kawasaki Disease

Makoto Hoyano; Kazuyuki Ozaki; Naoki Kubota; Shintaro Yoneyama; Takeshi Okubo; Ryutaro Ikegami; Takayuki Inomata

doi:10.2169/internalmedicine.3210-23

Makoto Hoyano, Kazuyuki Ozaki, Naoki Kubota, Shintaro Yoneyama, Takeshi Okubo, Ryutaro Ikegami, Takayuki Inomata

Author information

Makoto Hoyano
Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
Kazuyuki Ozaki
Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
Naoki Kubota
Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
Shintaro Yoneyama
Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
Takeshi Okubo
Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
Ryutaro Ikegami
Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan
Takayuki Inomata
Department of Cardiovascular Medicine, Niigata University Graduate School of Medical and Dental Sciences, Japan

Keywords: Kawasaki disease, percutaneous coronary intervention, coronary aneurysm, excimer laser catheter ablation

JOURNAL OPEN ACCESS Advance online publication

Article ID: 3210-23

DOI https://doi.org/10.2169/internalmedicine.3210-23

Details

Abstract

A 37-year-old man with a history of Kawasaki disease presented with total occlusion of the right coronary artery. The patient underwent percutaneous coronary intervention (PCI) with excimer laser coronary angioplasty (ELCA) and plain balloon angioplasty (POBA). Three months after PCI, a coronary aneurysm with restenosis was detected at the PCI site, and PCI was performed again using a small balloon. The aneurysm healed three months after the second PCI procedure. This is the first report describing the long-term outcome after an aneurysm caused by PCI with ELCA and POBA.

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