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KMID : 0604620080150010229
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Dongguk Journal of Medicine
2008 Volume.15 No. 1 p.229 ~ p.235
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A Total Occlusion of Left Anterior Descending Coronary Artery after Recurrent Atypical Kawasaki Disease
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Kim Myung-Jin
Kim Hee-Un
Song Jin-Young
Kang Ho-Seok
Oh Sei-ho
Lee Sang-Eun
Kim Soo-Sung
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Abstract
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An 11-year-old boy presented with prolonged fever of an unknown origin and multiple-joint pain for 15 days. When he had been six and eight years old he had complained of similar symptoms. At that time atypical Kawasaki disease was confirmed by two-dimensional echocardiogram, because dilatations of the left coronary artery were detected. A follow up had not occurred because he was asymptomatic. On this admission, the coronary angiogram showed a total occlusion of the left anterior descending coronary artery. Except the abnormal result of the cardiac SPECT showing a reversible perfusion defect all the results showed normal cardiac function. Because issues with parental permission made an immediate operation impossible, we felt we should observe him with a beta blocker, wafarin and aspirin for six months and see that no problems were found.
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KEYWORD
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Total Occlusion, Coronary Artery, Atypical Kawasaki Disease
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