Abstract
Three patients, aged 2 years 0 months, 2 years 2 months, and 6 years 1 month at the
time of plain old balloon angioplasty (POBA), developed an aneurysm in the left anterior
descending coronary branch after suffering from Kawasaki disease. POBA was subsequently
performed due to 99 % stenosis proximal to the aneurysm. There was no restenosis within
a few years after percutaneous coronary intervention, and there was no evidence of
ischemia, although 75 % restenosis occurred in two patients after 7 years.
Although calcified lesions are more likely to occur 6 years after the onset of Kawasaki
disease, none of the patients in this study had calcified lesions within 4 years of
Kawasaki disease onset, and good results were obtained with POBA alone. POBA can be
safely performed in children and is an effective treatment for improving myocardial
ischemia if calcification has not progressed.
Learning objective
Plain old balloon angioplasty (POBA) can be performed effectively and safely for Kawasaki
disease coronary artery stenosis in early childhood if calcification is minimal, with
little restenosis for at least several years. POBA is a useful tool in the treatment
of coronary artery stenosis in early childhood.
Abbreviations:
KD (Kawasaki disease), PCI (Percutaneous coronary intervention), POBA (Plain old ballon angioplasty), CAL (Coronary artery lesion)Keywords
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Article info
Publication history
Published online: January 17, 2023
Accepted:
December 25,
2022
Received in revised form:
December 16,
2022
Received:
September 4,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2023 Japanese College of Cardiology. Published by Elsevier Ltd. All rights reserved.
