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Surgical treatment for aortic regurgitation and left ventricular dysfunction caused by Kawasaki disease

Published online by Cambridge University Press:  19 August 2008

Toshiki Takahashi
Affiliation:
First Department of Surgery, Osaka University Medical School, Osaka, Japan
Kazuhiro Taniguchi
Affiliation:
First Department of Surgery, Osaka University Medical School, Osaka, Japan
Hikaru Matsuda*
Affiliation:
First Department of Surgery, Osaka University Medical School, Osaka, Japan
*
Hikaru Matsuda, MD First Department of Surgery, Osaka University Medical School, 2-2, Yamada-oka Suita, Osaka, 565, Japan. Tel: 06-879-3154, Fax: 06-879-3159

Summary

A 10-year-old girl required replacement of the aortic valve because of massive regurgitation caused by Kawasaki disease at the age of 3 months. Postoperatively, left ventricular function and mass improved remarkably, with reduction of both hypertrophy and interstitial fibrosis. During a follow-up period of 10 years, she has been free from any cardiac event.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 1998

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References

1. Akagi, T, Kato, H, Inoue, O, Sato, N, Imamura, KValvular heart disease in Kawasaki syndrome: Incidence and natural history. Am Heart J 1990;120: 366372.CrossRefGoogle ScholarPubMed
2. Nakano, H, Nojima, K, Saito, A, Ueda, K. High incidence of aorric regurgitation following Kawasaki disease. J Pediatr 1985; 107:5963.CrossRefGoogle ScholarPubMed
3. Gidding, SS, Shulman, ST, Ilbawi, M, Crussi, F, Duffy, CE. Mucocutaneous lymph node syndrome (Kawasaki disease): delayed aortic and mitral insufficiency secondary to active valvulitis. J Am Coll Cardiol 1986;7:894–897.CrossRefGoogle ScholarPubMed
4. Kasugai, T, Onishi, K, Kobayashi, J, Okamura, H, Kobayashi, Y, Abe, Y. Aortic regurgitation and coronary artery obstruction due to Kawasaki disease - A case report of successful surgical treatment. J Jpn Assoc Thorac Surg 1987;35: 124129.(in Japanese).Google ScholarPubMed
5. Takahashi, T, Kadoba, K, Taniguchi, K, Imagawa, H, Sano, T, Shimazaki, Y, Matsuda, H. Long-term results of surgical treatment for mitral regurgitation with severe left ventricular dysfunction after myocardial infarction caused by Kawasaki disease. J Thorac Cardiovasc Surg 1996; 111:893–4CrossRefGoogle ScholarPubMed
6. Taniguchi, K, Nakano, S, Matsuda, H, Shimazaki, Y, Sakai, K, Kawamoto, T, Sakaki, S, Arisawa, J, Kawachi, K, Kawashima, Y. Depressed myocardial contractility and normal ejection performance after aortic valve replacement in patients with aortic regurgitation. J Thorac Cardiovasc Surg 1989;98: 258265.CrossRefGoogle ScholarPubMed