Successful Treatment of Myocardial Infarction in an Infant With Kawasaki Disease. (September 2015)

• Record Type: Journal Article
• Authors: Jone, Pei-Ni; Tapia, Daniel; Davidson, Jesse; Fagan, Thomas E.; Browne, Lorna; Ing, Richard John; Kay, Joseph
• Is Part Of: Seminars in cardiothoracic and vascular anesthesia. Volume 19:Number 3(2015:Sep.)
• Page Start: 255
• Page End: 259
• Publication Date: 2015-09
• Subjects: Kawasaki disease -- coronary artery thrombosis -- coronary artery aneurysms -- myocardial infarction -- thrombolytics -- abciximab; Cardiovascular system -- Surgery -- Methods -- Periodicals; Chest -- Surgery -- Methods -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Anesthesia -- Periodicals; Anesthetics -- Periodicals; Cardiovascular Surgical Procedures -- methods -- Periodicals; Thoracic Surgical Procedures -- methods -- Periodicals; 617.96
• DOI: 10.1177/1089253215573328
• Languages: English
• ISSNs: 1089-2532

Abstract

Although early treatment with intravenous immunoglobulin reduces the risk of coronary artery aneurysms, in refractory cases of Kawasaki disease, myocardial infarction can result from thrombosis of coronary artery aneurysms. Early recognition of myocardial infarction from Kawasaki disease myocarditis can reduce morbidity and mortality. This report describes successful treatment of myocardial infarction from coronary thrombosis in an infant with Kawasaki disease using intravenous tissue plasminogen activator and abciximab.