Abstract
A successful attempt at percutaneous transluminanl coronary angioplasty (PTCA)
to relieve stenosis of the mid-portion of the left anterior descending artery
was achieved in a 6-year 9-month old boy who had multiple coronary aneurysms and
stenosis due to Kawasaki disease. Despite the progression of coronary stenosis
he had been well except for the perfusion defect of the anterior wall of
myocardium on 99mTc-MIBI SPECT with dipyridamole infusion until PTCA was carried
out after 4-year 4-months of the onset of illness. The area of stenosis was 70%
before PTCA and 20% after PTCA. No restenosis at the site of PTCA was observed
on follow-up angiography at 26 months after PTCA. This successful attempt may
indicate that this procedure should be considered early in subclinical stenosis
to prevent ischemic cardiac damage.