Stent implantation for a totally occluded right coronary artery in a 6-year-old boy after Kawasaki disease: a case report
IntroductionCoronary stenting is considered less feasible for children under 12 years old previously due to limitation of vascular access. We report a 6-year-old boy who successfully underwent stent implantation for his totally occluded right coronary artery.Case presentationA 6-year 9-month-old Taiwanese boy was found to be complicated with giant aneurysms after acute episode of Kawasaki disease.
The angiography revealed totally occluded middle right coronary artery. A 0.014 inch guidewire was advanced to cross the totally occluded site.
After pre-dilating the middle portion of right coronary artery with the 1.5mm balloon right coronary artery stenting was accomplished using a 2.5 mm X 28 mm and a 2.5 mm X 18 mm bare metal stent. Final angiography demonstrated no residual stenosis or dissection.
Coronary stenting could be a therapeutic option for children as young as 6-year-old.
Close follow-up is mandatory because the long-term outcome is still unclear especially in such a small child.