临床儿科杂志 ›› 2020, Vol. 38 ›› Issue (7): 493-.doi: 10.3969/j.issn.1000-3606.2020.07.004

• 心血管疾病专栏 • 上一篇    下一篇

川崎病并发冠状动脉病变引发成年后不稳定性心绞痛1 例报告并文献复习

杨轶男, 闵丽, 董湘玉, 牛少敏, 吴维霞   

  1. 兰州大学第二医院儿科(甘肃兰州 730030)
  • 发布日期:2020-07-14
  • 通讯作者: 杨轶男 电子信箱:ldyangyn@163.com
  • 基金资助:
    甘肃省自然科学基金(No.18JR3RA323)

Unstable angina pectoris in adulthood resulted from Kawasaki disease complicated with coronary artery disease: a case report and literature review

 YANG Yinan, MIN Li, DONG Xiang Yu, NIU Shao Min, WU Weixia   

  1. Department of Pediatrics, Lanzhou University Second Hospital, Lanzhou 730030, Gansu, China
  • Published:2020-07-14

摘要: 目的 探讨川崎病(KD)所致冠状动脉疾病与成年后急性心血管事件的相关性。方法 回顾分析1例18岁、有 KD病史的冠心病患者的临床资料,同时检索相关文献并进行总结。结果 女性患者,18岁,活动后胸痛、胸闷;心脏血管 造影显示右冠状动脉主干1段局部壁增厚,管腔重度狭窄。患者于7岁时有明确的KD病史,并伴有冠状动脉瘤。结论 儿 童KD与成年后相关心血管疾病密切相关。

关键词: 川崎病; 冠状动脉病变; 不稳定性心绞痛

Abstract:  Objective To explore the correlation between coronary artery disease caused by Kawasaki disease (KD) and acute cardiovascular events in adulthood. Methods The clinical data of an 18-year-old coronary heart disease patient with a history of KD was retrospective analyzed, and the relevant literature was retrieved and summarized. Results A female patient, 18-year-old, suffered from chest pain and chest distress after exercise. Cardiac angiography revealed local wall thickening and severe lumen stenosis in the main right coronary artery. The patient had a clear history of KD at the age of 7 years, complicated with a coronary aneurysm. Conclusion KD in childhood is closely related to cardiovascular diseases in adulthood.

Key words: Kawasaki disease; coronary artery disease; unstable angina pectoris