Coronary artery bypass grafting in an adult case with Kawasaki disease

Area of Science:

• Cardiology
• Pediatric Cardiology
• Vascular Surgery

Background:

• Kawasaki disease (KD) is a leading cause of acquired heart disease in children.
• Coronary artery sequelae, including aneurysms and stenosis, are well-documented complications of KD.
• Adult presentation of KD-related coronary artery disease is uncommon, with limited surgical case reports.

Observation:

• A rare adult case of multiple coronary artery aneurysms and obstructive lesions, presumed secondary to Kawasaki disease, is presented.
• The patient had few traditional cardiovascular risk factors.
• Surgical revascularization via coronary artery bypass grafting (CABG) using multiple arterial grafts was performed.

Findings:

• The patient experienced an uneventful postoperative recovery following CABG.
• This case highlights the potential for late-onset ischemic heart disease due to childhood Kawasaki disease.
• Surgical management is feasible and effective in select adult cases.

Implications:

• Adults presenting with coronary lesions and lacking typical risk factors should be evaluated for a history of Kawasaki disease.
• Heightened clinical awareness is crucial for early diagnosis and management of KD-related coronary artery disease in young adults.
• Coronary artery bypass grafting is a viable treatment option for severe KD-induced coronary artery disease in adults.