Coronary Artery Revascularization in a young adult with Solitary Coronary Aneurysm probably secondary to childhood Kawasaki Disease

Surgical revascularization for coronary artery lesions secondary to Kawasaki disease (KD) has been rarely reported in adolescent patients. We reported a young adult case with no coronary risk factors but with a giant solitary coronary aneurysm and obstructive thrombosis inside presumably secondary to KD who underwent coronary artery bypass grafting (CABG) with left internal thoracic artery (LITA) and SVG.Because coronary artery sequelae of KD can be a cause of ischemic heart disease even in young adults, heightened awareness of this possibility is required for young adults with coronary lesions but without coronary risk factors.Kawasaki disease is an acute febrile illness affecting mainly infants and children. The fatal complication of Kawasaki disease is coronary involvement pertaining to coronary artery aneurysms. Surgical experience of adults that had childhood Kawasaki disease with coronary lesion has been rarely reported (1). We experienced coronary artery bypass grafting in a 16 years old young man with no risk factors for atherosclerosis but with coronary lesions possibly secondary to Kawasaki disease