Case report
Stent implantation for a totally occluded right coronary artery in a six-year-old boy after Kawasaki disease: a case report
1 Department of Pediatrics, Taichung Veterans General Hospital, Taichung, Taiwan
2 Department of Pediatrics, National Yang-Ming University, Taipei, Taiwan
3 Graduate Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan
4 Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan
Journal of Medical Case Reports 2012, 6:111 doi:10.1186/1752-1947-6-111
Published: 16 April 2012Abstract
Introduction
Coronary stenting has previously been considered to be less feasible in children under 12 years old due to the limitation of vascular access. We report the case of a six-year-old boy who successfully underwent stent implantation for his totally occluded right coronary artery.
Case presentation
A Taiwanese boy aged six years and nine months old was found to have giant aneurysms after an acute episode of Kawasaki disease. An angiography revealed that his middle right coronary artery was totally occluded. A 0.014-inch guidewire was advanced to cross the totally occluded site. After pre-dilating the middle portion of his right coronary artery with a 1.5 mm balloon, stenting of his right coronary artery was accomplished using a 2.5 × 28 mm and a 2.5 × 18 mm bare metal stent. A final angiography demonstrated no residual stenosis or dissection.
Conclusion
Coronary stenting could be a therapeutic option for children as young as six years old. Close follow-up is mandatory because the long-term outcome is still unclear, especially in a small child.
