E-page Original Images: Long-term adverse effect of Kawasaki syndrome: Two- vessel coronary artery by pass surgery for coronary artery aneurysm in a 16-year old male patient

Kawasaki disease, which is a rare systemic vasculitic syndrome with an unknown etiology, affects any type of blood vessel in the body including arteries, veins, and capillaries. It comprises about 9% of all vasculitic syndromes in childhood. The most common manifestations of disease are coronary artery vasculitis leading to coronary aneurysm (15-25%) and dilatation of aortic root. A 16- year -old male with a history of Kawasaki disease in childhood was admitted to our clinic with one year duration of CCS II exertional retrosternal chest pain and dyspnea. His physical examination revealed a blood pressure and heart rate of 130/75 mmHg and 70 bpm respectively with normal cardiac and lung auscultation. At admission, electrocardiography (ECG), telecar- diography and routine biochemical laboratory findings were normal.