Natural history of coronary artery lesions in Kawasaki disease

Suzuki, Atsushi; Kamiya, Tetsuro; Tsuda, Etsuko; Tsukano, Shinya

doi:10.1016/s1058-9813(97)00192-6

Cited by 42 publications

(45 citation statements)

References 8 publications

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“…2,9 Sudden deaths were more common in the present study, and ITA grafts appeared to be better at preventing sudden death.…”

Section: Discussionmentioning

confidence: 46%

National Survey of Coronary Artery Bypass Grafting for Coronary Stenosis Caused by Kawasaki Disease in Japan

Tsuda

Kitamura²

2004

Circulation

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Background-We surveyed the national experience of coronary artery bypass grafting (CABG) for coronary sequelae of Kawasaki disease (kDa) in 2002. Methods and Results-A questionnaire was returned from 323/552 (59%) institutions. Two hundred forty-four patients (188 male 56 female) since 1975 were identified. The mean number of grafts was 1.8 and the age at operation ranged from 1 to 44 years (median 11 years). The interval from the onset of kDa to operation ranged from 1 month to 42 years (median 8 years), whereas the follow-up period was from 7 days to 25 years (median 5 years). Previous myocardial infarction was found in 70 patients (28%). When the age at operation was older than 12 years, patency rates for internal thoracic artery grafts (ITA) at 1, 5, and 15 years were 95%, 91%, and 91%, respectively (nϭ156). When the age at operation was younger than 12 years, the corresponding values were significantly lower, with 1, 5, and 15 years being 93%, 73%, and 65%, respectively (nϭ146) (PϽ0.05). Reoperation was performed in 14 patients (6%

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“…2,9 Sudden deaths were more common in the present study, and ITA grafts appeared to be better at preventing sudden death.…”

Section: Discussionmentioning

confidence: 46%

National Survey of Coronary Artery Bypass Grafting for Coronary Stenosis Caused by Kawasaki Disease in Japan

Tsuda

Kitamura²

2004

Circulation

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“…140, 141 The severity classification of cardiovascular lesions due to Kawasaki disease ( Table 4) is based on the findings of CAG.…”

Section: Cag 411 Indications a Evaluation Of Severity Of Coronary mentioning

confidence: 99%

“…141 It is not uncommon to find coronary occlusive lesions in asymptomatic patients for the first time on routine follow-up imaging. Collateral flows are visualized during angiography in all patients with coronary occlusion.…”

Section: Occlusionmentioning

confidence: 99%

Guidelines for Diagnosis and Management of Cardiovascular Sequelae in Kawasaki Disease (JCS 2013)

2014

Circ J

210

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“…Suzuki et al have reported that 16% of coronary aneurysms are occluded at follow-up, 78% of those became occluded within 2 years from onset (Suzuki et al, 1997). Whereas, acute myocardial infarction and sudden death have been caused by coronary artery occlusion, two-thirds of cases with occlusion have no symptomatic episodes due to the consequence of postocclusion recanalization and development of collateral vessels.…”

Section: Occlusionmentioning

confidence: 99%

“…Segmental stenosis has been observed in 14.8% of patients with KD sequelae, 90% of which occurred in the right coronary artery. The right coronary artery is occluded or recanalized more easily than the left coronary artery (Suzuki et al, 1997).…”

Section: Recanalization (Segmental Stenosis)mentioning

confidence: 99%