Acute Myocardial Infarction in a Young Adult with Coronary Artery Ectasia Presumably Caused by Kawasaki Disease: The Role of Thrombosuction

作者：Chen Yu Feng; Ma Tsochiang; Chang Ting Chuan; Chang Mu Hsin; Lai Chao Hung; Shyu Miin Yaw; Jong Gwo Ping^*

来源：Acta Cardiologica Sinica, 2009, 25(3): 165-168.

• Acute myocardial infarction
• Coronary artery ectasia
• Kawasaki disease
• Percutaneous coronary intervention

Direct percutaneous coronary intervention (PCI) for acute myocardial infarction (AMI) is now the standard first-line therapy for all patients. However, few studies on PCI in young patients with AMI and Kawasaki disease have been published. Herein, we report a case of AMI in a 26-year-old man with a history of Kawasaki disease. Emergency coronary angiography showed a thrombotic occlusion of the ectatic left circumflex artery. PCI with aspiration thrombectomy alone was performed successfully. Restenosis was not observed on coronary arteriography at 6-month follow-up. Our report suggests that PCI with thrombosuction for young patients with AMI and Kawasaki disease can be safe and effective.

• 出版日期2009-9
• 单位中国医科大学