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  • Title: Atypical Kawasaki disease: A patient with coronary, brain, and internal mammary arteritis.
    Author: Hamasaki A, Uchida T, Kuroda Y, Ishizawa A, Sadahiro M.
    Journal: J Card Surg; 2019 May; 34(5):359-362. PubMed ID: 30900318.
    Abstract:
    Here we report a rare case of atypical Kawasaki disease (KD) in a patient presenting with systemic arteritis affecting the coronary arteries, brain, and internal mammary arteries (IMAs). A 25-year-old man was referred to our institute with angina pectoris. Coronary angiography revealed coronary artery aneurysms and triple-vessel disease. Three-dimensional brain computed tomography showed multiple small saccular aneurysms on the vertebral and posterior inferior cerebellar arteries. Off-pump coronary artery bypass (OPCAB) grafting ​​​​​​was performed; however, the bilateral IMAs were tightly adhered and not patent. OPCAB was completed using the bilateral radial and gastroepiploic arteries. This is the first report of KD involving the IMA.
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