ANEURYSMAL CORONARY-ARTERY DISEASE - ATHEROSCLEROTIC CORONARY-ARTERY ECTASIA OR ADULT MUCOCUTANEOUS LYMPH-NODE SYNDROME (KAWASAKIS-DISEASE)

A 46-year-old white man presented with a history of multiple myocardia l infarctions since the age of 32. Coronary angiography demonstrated s evere aneurysmal coronary artery disease. Four-vessel coronary artery bypass grafting (CABG) using bilateral internal mammary arteries and t he left radial artery was successfully performed. The differential dia gnosis of early onset adult aneurysmal coronary artery disease is disc ussed, with emphasis on Kawasaki's disease and atherosclerotic coronar y artery ectasia. When CABG is indicated, total arterial revasculariza tion should be attempted.