{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,19]],"date-time":"2026-02-19T04:46:31Z","timestamp":1771476391807,"version":"3.50.1"},"reference-count":12,"publisher":"Oxford University Press (OUP)","issue":"8","license":[{"start":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T00:00:00Z","timestamp":1661731200000},"content-version":"vor","delay-in-days":28,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,8,4]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:sec>\n                  <jats:title>Background<\/jats:title>\n                  <jats:p>Kawasaki disease (KD) is a medium vessel vasculitis occurring in children, as yet of undetermined aetiology. KD can lead to severe complications such as coronary artery aneurysms, thrombosis, and sudden death. Monitoring of coronary anomalies is an important issue in the early phase of the disease, and their follow-up is based on different imaging methods. The interventional treatment of these coronary anomalies, which is often complex, is a therapeutic challenge.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Case summary<\/jats:title>\n                  <jats:p>We are reporting the case of a four-year-old child who presented KD which was complicated by coronary aneurysm of the proximal left anterior descending artery and ectasia of the right coronary artery (RCA). These lesions progressively calcified and resulted at the age of 13 in chronic occlusion of the RCA. After confirmation of myocardial viability and myocardial ischaemia, a complex angioplasty guided by intracoronary imaging was performed using rotational atherectomy, a cutting balloon, and a high pressure balloon. The control coronary angiography performed 1 year later revealed two false aneurysm on the RCA at the angioplasty site, which were successfully treated with a covered stent.<\/jats:p>\n               <\/jats:sec>\n               <jats:sec>\n                  <jats:title>Discussion<\/jats:title>\n                  <jats:p>This case report describes the challenges of treating coronary artery abnormalities such as calcified coronary lesions in children with KD. The coronary intervention of these lesions remains complex and may lead to coronary rupture. We highlight the advantage of using intracoronary imaging in the management of these calcified lesions for successful revascularization, and to assess the complications of percutaneous coronary intervention.<\/jats:p>\n               <\/jats:sec>","DOI":"10.1093\/ehjcr\/ytac332","type":"journal-article","created":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T09:08:49Z","timestamp":1661764129000},"source":"Crossref","is-referenced-by-count":2,"title":["Unusual interventional treatment of a complex calcified coronary artery lesion in a child with Kawasaki disease: a case report"],"prefix":"10.1093","volume":"6","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4895-3770","authenticated-orcid":false,"given":"Anthony","family":"M\u00e9zier","sequence":"first","affiliation":[{"name":"Department of Cardiology, Gabriel Montpied University Hospital , 63000 Clermont-Ferrand , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Claire","family":"Dauphin","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Gabriel Montpied University Hospital , 63000 Clermont-Ferrand , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"G\u00e9raud","family":"Souteyrand","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Gabriel Montpied University Hospital , 63000 Clermont-Ferrand , France"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Pascal","family":"Motreff","sequence":"additional","affiliation":[{"name":"Department of Cardiology, Gabriel Montpied University Hospital , 63000 Clermont-Ferrand , France"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2022,8,29]]},"reference":[{"key":"2022082909082831300_ytac332-B1","doi-asserted-by":"crossref","first-page":"ytaa263","DOI":"10.1093\/ehjcr\/ytaa263","article-title":"Kawasaki disease: case report of a diagnostic dilemma and often a missed diagnosis","volume":"5","author":"Bin Jawaid","year":"2021","journal-title":"Eur Heart J Case Rep"},{"key":"2022082909082831300_ytac332-B2","doi-asserted-by":"crossref","first-page":"e927","DOI":"10.1161\/CIR.0000000000000484","article-title":"Diagnosis, treatment, and long-term management of kawasaki disease: a scientific statement for health professionals from the American heart association","volume":"135","author":"McCrindle","year":"2017","journal-title":"Circulation"},{"issue":"3","key":"2022082909082831300_ytac332-B3","doi-asserted-by":"crossref","first-page":"247","DOI":"10.1080\/1744666X.2017.1232165","article-title":"Kawasaki 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Cardiol"},{"key":"2022082909082831300_ytac332-B7","doi-asserted-by":"crossref","first-page":"e18371","DOI":"10.1097\/MD.0000000000018371","article-title":"Coronary sequelae of kawasaki disease treated with rotational atherectomy and drug coated balloon: a case report","volume":"99","author":"Shi","year":"2020","journal-title":"Medicine (Baltimore)"},{"key":"2022082909082831300_ytac332-B8","doi-asserted-by":"crossref","first-page":"1465","DOI":"10.1016\/j.jcin.2019.03.038","article-title":"Management of calcific coronary artery lesions","volume":"12","author":"De Maria","year":"2019","journal-title":"JACC Cardiovasc Interv"},{"key":"2022082909082831300_ytac332-B9","doi-asserted-by":"crossref","first-page":"1487","DOI":"10.1016\/j.jcmg.2017.09.008","article-title":"IVUS-Guided Versus OCT-guided coronary stent implantation","volume":"10","author":"Maehara","year":"2017","journal-title":"JACC Cardiovasc Imaging"},{"key":"2022082909082831300_ytac332-B10","doi-asserted-by":"crossref","first-page":"120","DOI":"10.1016\/j.jpeds.2010.01.032","article-title":"Percutaneous coronary intervention versus coronary artery bypass grafting for stenotic lesions after kawasaki disease","volume":"157","author":"Muta","year":"2010","journal-title":"J Pediatr"},{"key":"2022082909082831300_ytac332-B11","doi-asserted-by":"crossref","first-page":"1660","DOI":"10.4244\/EIJ-D-18-00855","article-title":"Very long-term outcome of coronary covered stents. a report from the SCAAR registry","volume":"20","author":"Harnek","year":"2019","journal-title":"EuroIntervention"},{"key":"2022082909082831300_ytac332-B12","doi-asserted-by":"crossref","first-page":"874","DOI":"10.1002\/ccd.29328","article-title":"Use and outcomes of the PK Papyrus covered stent in France: SOS PK Papyrus registry","volume":"98","author":"Hern\u00e1ndez-Enr\u00edquez","year":"2021","journal-title":"Cathet Cardio Intervent"}],"container-title":["European Heart Journal - Case Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/8\/ytac332\/45600738\/ytac332.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/ehjcr\/article-pdf\/6\/8\/ytac332\/45600738\/ytac332.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,8,29]],"date-time":"2022-08-29T09:09:03Z","timestamp":1661764143000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/ehjcr\/article\/doi\/10.1093\/ehjcr\/ytac332\/6678118"}},"subtitle":[],"editor":[{"given":"Michel","family":"Corban","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]},{"given":"Milenko 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Paulo","family":"Sunjaya","sequence":"additional","affiliation":[],"role":[{"role":"editor","vocabulary":"crossref"}]}],"short-title":[],"issued":{"date-parts":[[2022,8,1]]},"references-count":12,"journal-issue":{"issue":"8","published-print":{"date-parts":[[2022,8,4]]}},"URL":"https:\/\/doi.org\/10.1093\/ehjcr\/ytac332","relation":{},"ISSN":["2514-2119"],"issn-type":[{"value":"2514-2119","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2022,8,1]]},"published":{"date-parts":[[2022,8,1]]},"article-number":"ytac332"}}