Conflict of interest: Nothing to report.
Coronary Artery Disease
Long-term outcome of transcatheter polytetrafluoroethylene-covered stent implantation in a giant coronary aneurysm of a child with Kawasaki disease
Article first published online: 12 NOV 2012
Copyright © 2012 Wiley Periodicals, Inc.
Catheterization and Cardiovascular Interventions
Volume 81, Issue 4, pages 713–716, March 2013
How to Cite
Waki, K., Arakaki, Y. and Mitsudo, K. (2013), Long-term outcome of transcatheter polytetrafluoroethylene-covered stent implantation in a giant coronary aneurysm of a child with Kawasaki disease. Cathet. Cardiovasc. Intervent., 81: 713–716. doi: 10.1002/ccd.24486
- Issue published online: 22 FEB 2013
- Article first published online: 12 NOV 2012
- Accepted manuscript online: 17 MAY 2012 11:23AM EST
- Manuscript Accepted: 12 MAY 2012
- Manuscript Revised: 11 APR 2012
- Manuscript Received: 20 DEC 2011
- long-term outcome;
- in-stent restenosis;
- neointimal hyperplasia
We report the long-term outcome of a child with Kawasaki disease (KD), who had a giant aneurysm with stenotic lesions in the right coronary artery, resulting in the transcatheter implantation of a polytetrafluoroethylene (PTFE)-covered stent at the age of 8. Quantitative coronary angiography analysis later showed the increase of the diameter stenosis at both stent edges for the first 10 months after implantation; however, the stenosis did not develop thereafter. Coronary perfusion was still well maintained at follow-up coronary angiography 5.5 years after implantation (diameter stenosis was 36.5% at proximal and 37.4% at distal edge, respectively). Although further follow-up is necessary, the long-term outcome of a PTFE-covered stent implantation for a KD patient is satisfactory in this instance. Implantation of a covered stent in a giant aneurysm is considered a promising treatment option. © 2012 Wiley Periodicals, Inc.