Kawasaki disease with coronary artery sequelae
Judith U Hibbard1, Javier E Fajardo, Joan Briller
1Department of Obstetrics and Gynecology, University of Illinois at Chicago, Chicago, Illinois 60612, USA. jhibbar@uic.edu
Obstetrics and Gynecology
|February 3, 2007
Summary
Pregnancy in women with Kawasaki disease and coronary aneurysms is possible with careful management. This case study highlights successful management strategies for a safe pregnancy and postpartum period.
Area of Science:
- Cardiology
- Obstetrics
- Maternal-Fetal Medicine
Background:
- Kawasaki disease is an acute febrile illness with potential cardiac sequelae, including coronary aneurysms.
- Pregnancy in women with Kawasaki disease poses significant maternal risks.
Observation:
- A woman with Kawasaki disease and coronary aneurysms experienced two successful pregnancies.
- Management included therapeutic enoxaparin, alpha-methyldopa, and labetalol.
- Close monitoring via echocardiography, ECG, and cardiac event monitoring was performed.
Findings:
- The patient maintained therapeutic anticoagulation throughout pregnancy and postpartum.
- Labor was induced with a passive second stage.
- No further cardiac events or complications occurred during gestations.
Implications:
- Kawasaki disease with coronary aneurysms requires specialized obstetric management.
- Obstetricians must be knowledgeable about managing pregnant patients with this condition.
- Multidisciplinary care involving maternal-fetal medicine and cardiology is crucial.
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