ACUTE CORONARY INTERVENTION IN A YOUNG PATIENT WITH A MASSIVE THROMBUS IN A GIANT CORONARY ANEURYSM DUE TO KAWASAKI-DISEASE

Coronary aneurysms and obstructive lesions are the most serious compli cations associated with Kawasaki disease and can cause chronic myocard ial ischemia or acute myocardial infarction. Because of improvements i n medical treatment, such as the use of gamma globulin,(1) such patien ts are living longer, so that the incidence of ischemic heart disease in such cases is expected to increase.(2) Balloon angioplasty may be e ffective, especially in patients with acute coronary syndromes, but th ere are few reports on the use of this method(3) in patients with Kawa saki disease. We used balloon angioplasty to treat a patient with Kawa saki disease with a giant coronary aneurysm who experienced an acute m yocardial infarction.