PMID- 30900318 OWN - NLM STAT- MEDLINE DCOM- 20191101 LR - 20191101 IS - 1540-8191 (Electronic) IS - 0886-0440 (Linking) VI - 34 IP - 5 DP - 2019 May TI - Atypical Kawasaki disease: A patient with coronary, brain, and internal mammary arteritis. PG - 359-362 LID - 10.1111/jocs.14025 [doi] AB - 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. CI - (c) 2019 Wiley Periodicals, Inc. FAU - Hamasaki, Azumi AU - Hamasaki A AUID- ORCID: 0000-0001-6284-1911 AD - Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan. FAU - Uchida, Tetsuro AU - Uchida T AUID- ORCID: 0000-0002-0892-2267 AD - Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan. FAU - Kuroda, Yoshinori AU - Kuroda Y AUID- ORCID: 0000-0002-0140-3894 AD - Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan. FAU - Ishizawa, Ai AU - Ishizawa A AD - Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan. FAU - Sadahiro, Mitsuaki AU - Sadahiro M AD - Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan. LA - eng PT - Case Reports DEP - 20190321 PL - United States TA - J Card Surg JT - Journal of cardiac surgery JID - 8908809 SB - IM MH - Adult MH - Angina Pectoris/etiology MH - Brain/*diagnostic imaging MH - Coronary Aneurysm/diagnostic imaging/etiology MH - Coronary Angiography MH - Coronary Artery Bypass, Off-Pump/*methods MH - Coronary Disease/diagnostic imaging/etiology MH - Gastroepiploic Artery/transplantation MH - Humans MH - Imaging, Three-Dimensional MH - Intracranial Aneurysm/diagnostic imaging/etiology MH - Male MH - *Mammary Arteries MH - Mucocutaneous Lymph Node Syndrome/complications/*diagnostic imaging/pathology/*surgery MH - Radial Artery/transplantation MH - Tomography, X-Ray Computed OTO - NOTNLM OT - Kawasaki disease OT - coronary artery aneurysm OT - internal mammary artery EDAT- 2019/03/23 06:00 MHDA- 2019/11/02 06:00 CRDT- 2019/03/23 06:00 PHST- 2019/02/17 00:00 [received] PHST- 2019/02/28 00:00 [revised] PHST- 2019/03/02 00:00 [accepted] PHST- 2019/03/23 06:00 [pubmed] PHST- 2019/11/02 06:00 [medline] PHST- 2019/03/23 06:00 [entrez] AID - 10.1111/jocs.14025 [doi] PST - ppublish SO - J Card Surg. 2019 May;34(5):359-362. doi: 10.1111/jocs.14025. Epub 2019 Mar 21.