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Short cases in cardiology
Intracoronary urokinase and post-thrombolytic regimen in an infant with Kawasaki disease and acute myocardial infarction
  1. Fumihiko Katayama,
  2. Satoshi Hiraishi,
  3. Nobuhiro Takeda,
  4. Hitoshi Misawa
  1. Department of Pediatrics, Kitasato University School of Medicine, Sagamihara, Kanagawa, Japan
  1. Dr Katayama, Ochiai Medical Clinic, 1016 Nurumizu, Atsugi Kanagawa 243, Japan.

https://doi.org/10.1136/hrt.78.6.621

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    Acute myocardial infarction is the most serious complication of Kawasaki disease and is often fatal.1 ,2 We describe a case successfully treated by intracoronary thrombolysis.

    Case report

    A 13 month old boy with Kawasaki disease was found to have multiple coronary artery aneurysms 25 days after onset of illness. He was treated with aspirin and dipyridamole but four months later he presented with acute anterior myocardial infarction. Coronary angiography showed occlusion of the proximal left anterior …

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