青少年川崎病合并冠状动脉3支病变1例

One case report on Adolescent Kawasaki disease combined with a triple branch coronary artery lesion

本文报道1例16岁的青少年患者,川崎病史6年,不规律口服阿司匹林抗血小板治疗,未规律复诊。在患川崎病后6年因胸痛症状入院,入院后冠状动脉造影提示冠状动脉3支病变、前降支开口闭塞、回旋支近段狭窄50%、右冠状动脉近段以远完全闭塞。给予冠状动脉旁路移植术治疗后,患者胸痛缓解。本文针对川崎病引起的冠状动脉病变情况及其治疗进行分析。

This paper reports a 16-year-old adolescent patient with a history of Kawasaki for 6years who was treated with irregular antiplatelet therapy(oral aspirin)without regular follow-up visits.He was admitted to hospital due to chest pain after Kawasaki disease six years.Coronary angiography revealed lesions in three branches of the coronary artery,complete occlusion of the anterior descending branch,50%stenosis of the proximal circumflexal branch,and complete occlusion of the proximal right coronary artery.After coronary artery bypass grafting,the patient's chest pain was relieved.