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Ann Thorac Surg 2004;78:693-695
© 2004 The Society of Thoracic Surgeons

Case report

Rupture of a giant coronary artery aneurysm due to Kawasaki disease

Thomas M.T. Hwong, FRCSa, Ahmed A. Arifi, MDa*, Innes Y.P. Wan, FRCSa, K.H. Thung, FRCSa, Song Wan, MD, PhDa, Rita Y.T. Sung, MDb, Anthony P.C. Yim, MDa

a Division of Cardiothoracic Surgery, Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
b Division of Pediatric Cardiology, Department of Pediatrics, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong

Accepted for publication June 6, 2003.

* Address reprint requests to Dr Arifi, Division of Cardiothoracic Surgery, The Department of Surgery, The Chinese University of Hong Kong, Prince of Wales Hospital, Shatin, Hong Kong
e-mail: arifiahmed{at}hotmail.com

Coronary artery aneurysm requiring surgery is rare. We report a case of a ruptured giant coronary artery aneurysm due to Kawasaki vasculitis which presented with cardiac arrest and was successfully treated by emergency coronary artery bypass grafting. The controversies surrounding the management of this disease are also discussed.




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