Incomplete Kawasaki disease complicated with acute abdomen: A case report.

paythelady.612 shared this article with you from Inoreader Incomplete Kawasaki disease complicated with acute abdomen: A case report. Μέσω pubmed: "world j clin cases"... Related Articles Incomplete Kawasaki disease complicated with acute abdomen: A case report. World J Clin Cases. 2020 Nov 06;8(21):5457-5466 Authors: Wang T, Wang C, Zhou KY, Wang XQ, Hu N, Hua YM Abstract BACKGROUND: Kawasaki disease (KD) is an acute systemic vasculitis characterized by unknown etiology. CASE SUMMARY: A 4.5-year-old boy developed an acute abdomen during the onset of incomplete KD. He still had persistent abdominal pain after undergoing exploratory laparotomy and appendectomy. Ultrasound examination at early onset revealed a giant coronary artery aneurysm. The patient developed a myocardial infarction and heart failure accompanied by respiratory and cardiac arrest. He underwent coronary artery revascularization and coronary artery bypass graft using an autologous internal mammary artery. After the operation, the cardiac output increased, and the symptoms of heart failure resolved. Follow-up evaluation at 1 mo after operation showed that the patient's cardiac function had restored to New York Heart Association standard Grade I heart failure, and normal growth was obtained. CONCLUSION: Coronary artery revascularization and coronary artery bypass graft is an effective method for treating myocardial ischemia in children with KD complicated with giant coronary artery aneurysm . Nevertheless, some issues still need specific attention. PMID: 33269284 [PubMed] View on the web Inoreader. Take back control of your news feed. Follow us on Twitter and Facebook.