[Coronary Revascularization in Kawasaki's disease]

Area of Science:

• Pediatric Cardiology
• Cardiovascular Surgery
• Rheumatology

Background:

• Kawasaki disease (KD) is the primary cause of acquired heart disease in children in many nations.
• Coronary artery aneurysms are the most severe complication of KD.
• Early diagnosis and management are crucial to prevent long-term cardiac sequelae.

Observation:

• A 5-year-old patient presented with three-vessel coronary artery disease secondary to KD.
• The patient underwent successful coronary artery bypass grafting.
• Grafts included left internal mammary artery to LAD, right mammary artery to OM, and radial artery to PDA.

Findings:

• Successful surgical revascularization was achieved in a pediatric patient with complex coronary artery disease due to KD.
• The multi-vessel bypass strategy effectively restored coronary blood flow.
• The patient tolerated the procedure well with no immediate adverse events.

Implications:

• This case highlights the feasibility and success of surgical revascularization for KD-induced coronary artery disease in children.
• Timely surgical intervention can prevent severe complications such as ventricular dysfunction, arrhythmias, and sudden death.
• Close monitoring and appropriate surgical timing are essential for optimal outcomes in pediatric KD patients with cardiac involvement.