Juniper Publishers Journal of Cardiology and Cardiovascular Therapy

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY Keywords Keywords: Arteritis; Takayasu; Coronary aneurysm; Massive myocardial infarctionion Case Report A 25-year-old male without any conventional coronary artery disease risk factors and history of untreated acute coronary syndrome a year back presented with rest angina and cardiogenic shock. On physical examination, her peripheral pulses though feeble, were palpable and there was no vascular bruit. There was an auscultable S3 and echocardiography suggested acute inferior wall and remote anterior wall myocardial infarction. (ECG Panel A) Despite attempts at resuscitation, the patient soon succumbed to refractory ventricular fibrillation. An autopsy was requisitioned. Gross examination of the heart at autopsy revealed humongous dilated, thrombus-laden coronary arteries (panel B, C, D). Histo-pathological examination with haematoxylin- eosin sta...

JUNIPER PUBLISHERS - OPEN ACCESS JOURNAL OF CARDIOLOGY & CARDIOVASCULAR THERAPY   Abstract Background: Kawasaki Disease is an acute febrile illness of early childhood. It is seen worldwide with the highest incidence occurring in Asian children under 5 years of age and in the male gender. Major sequelae involve the coronary arterial system, leading to aneurysms and occlusions. Case: This is a case of an 11-year-old male, who was diagnosed with Atypical Kawasaki Disease in 2007, for which Gamma Globulin and Aspirin were given. Diagnostic imaging showed severe three-vessel coronary artery disease with chronic total occlusion of the right coronary and left mid-circumflex artery and an aneurysmal dilation of the proximal left anterior descending artery measuring 12.4x11.3x25.5mm. He is the first paediatric patient in the Philippines who underwent quadruple coronary bypass and grafting. Conclusion: This case features the significance of early diagnosis and treatment of...