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Case Report
Transcatheter Coil Embolization in the Treatment of Coronary Artery Fistula
S. J. Kim, I. S. Park, S. H. Lee, M. Y. Hann, D. J. Cho, E. J. Bae, S. H. Kim, Y. M. Kim
Clin Exp Pediatr. 1999;42(11):1579-1582.   Published online November 15, 1999
Coronary artery fistulas, though relatively rare, are the most common hemodynamically significant congenital anomalies of the coronary artery system. Conventional surgical repair has been performed by either ligating the anomalous coronary connection or by direct closing of the Astula's orifice in patients undergoing a cardiopulmonary bypass. More recently, transcatheter embolization of fistulas, either with detachable balloons or coils, has been...
Transcatheter Coil Closure of a Congenital Coronary Arterial Fistula
Hye Soon Kim, Ho Sung Kim, Jung Il Rho, Jung Yeun Choi, Young Soo Yun
Clin Exp Pediatr. 1997;40(5):730-734.   Published online May 15, 1997
Congenital coronary artery fistulas are rare congenital heart anomalies. Surgical closure of these fistulas was the therapy of choice till recently. The recent development of a new accurate coil-delivery system has enabled us to embolize the vessels. Percutaneous transcatheter coil embolization is a safe and effective approach to treating coronary artery fistulas and should be considered as the best treatment...
Original Article
Immunologic Changes of Peripheral Blood Lymphocytes in Kawasaki Disease after Intravenous Gamma Globulin Therapy
Jung Yeon Shim, Kyung Mo Kim, Young Hwue Kim, Soo-Jong Hong
Clin Exp Pediatr. 1996;39(5):712-721.   Published online May 15, 1996
Purpose : Kawasaki disease(KD) is multi-systemic vasculitis and coronary artery abnormalities can develop up to 30 percent in untreated patients. Several observations suggest that immune activation and the secretion of cytokines from immune effector cells contribute to the pathogenesis of this disease. Though high dose intravenous gamma globulin(IVGG,>1 gm/kg) is effective in reducing the prevalence of coronary artery aneurysms in KD,...
Case Report
Abstract= A Case of Right Coronary Arterial Occlusion with Normal Electrocardiogram in Atypical Kawasaki Diseases
Yoon Kyung Lee, Jong Wan Kim, Kyung Tai Whang
Clin Exp Pediatr. 1996;39(3):411-416.   Published online March 15, 1996
Kawasaki disease is an acute febrile illness of unknown etiology that occurs predominantly in infants and early childhood. It had aroused intense interest because of the sequelae of coronary arteritis accompanied by coronary artery aneurysms and thrombotic occlusion, which may lead to ischemic heart disease or sudden death. Atypical Kawasaki disease is coined to describe patients who have coronary abnormalities,...
Original Article
Evaluation of Abnormal Coronary Artery Flow in Anomalous Coronary Artery Connections by Pulsed and Color Doppler Echocardiography
Young Mi Hong
Clin Exp Pediatr. 1996;39(1):78-87.   Published online January 15, 1996
Purpose : Anomalous connection of coronary artery can result in damage of myocardial perfusion, myocardial infarction, or congestive heart failure. Echocardiography has been used to demonstrate coronary artery anomalies such as coronary artery fistula, anomalous origin of the left coronary artery from the pulmonary artery, and aneurysm of the coronary arteries in Kawasaki disease. Definitive diagnosis relies on cardiac catheterization The...
Change of Coronary Arterial Distensibility by Intravenous Infusion of Adenosine in Kawasaki Disease Patients Who Had Coronary Artery Aneurysm
Myung Chul Hyun
Clin Exp Pediatr. 1995;38(10):1363-1369.   Published online October 15, 1995
Purpose : To investigate the effect of Kawasaki disease on coronary arterial distensibility, we studied 14 patients with Kawasaki disease who had had coronary artery aneurysms(mean of 4.5years have elapsed after onset of Kawasaki disease). Methods : Using Hewiett Packard-1500 echocardiogram, we measured RR interval, BP(blood pressure), EDD(end diastolic dimension), ESD(end systolic dimension), FS(fractional shortening), LVPWT(left ventricular posterior wall thickness), peak...
Serum Lipids in Children and Adolescents with Family History of Coronary Artery Diseases
Kee Hyoung Lee, Chang Sung Son, Joo Won Lee, young
Clin Exp Pediatr. 1995;38(4):482-492.   Published online April 15, 1995
Purpose : Atherosclerotic change begins in childhood, elevated blood lipid levels and a family history of premature coronary vascular diseases are important risk factors for coronary artery disease. Identification, follow-up and treatment of children at high risk of cardiovascular diseases are very effective and important for prevention of future coronary artery diseases. The purpose of this study is to determine...
Unusual Presentation of Kawasaki Disease Complicated by Coronary Aneurysms
Young-Ah Lee, In-Sook Park, Young-Hwue Kim, Hyung-Nam Moon, Chang-Yee Hong
Clin Exp Pediatr. 1994;37(7):890-899.   Published online July 15, 1994
Patients with atypical or incomplete Kawasaki disease are at same risk for development of coronary artery complications as typical Kawasaki disease. In this communication we report six patients with unusual presentation of Kawasaki disease complicated by coronary artery aneurysms, in whom correct diagnosis were not made in time for proper treatment. One of these patients died from massive myocardial ischemia...
Dimension of Normal Coronary Arteries Determined by Cross-Sectional Echocardiograph
Jung Yun Choi, Yong Soo Yun, Chung Il Noh, Jong Un Choi, I Seok Kang
Clin Exp Pediatr. 1992;35(10):1336-1342.   Published online October 15, 1992
In order to determine the normal values of coronary arterial dimensions in children, eighty eight children without any cardiovascular diseases were studied with cross-sectional echocardiography. Age ranged from 1 day to 15 years. Four sites (proximal right coronary artery, left main, left anterior descending, and left circumflex coronary artery) were selected to measure the dimensions. The right coronary artery was measured...
The Comparison of Coronary Arterial Dimensions Measured by Cross-sectional Echocardiography with Values Obtained by Coronary Angiography in Kawasaki Disease
Mi Jin Jung, Jung Yun Choi, Shung Il Noh, Yong Soo Yun, I Seok Kang
Clin Exp Pediatr. 1992;35(8):1102-1106.   Published online August 15, 1992
In order to assess accuracy of cross-sectional echocardiographic measurements of coronary arterial dimension, measured values of coronary arterial dimensions by cross-sectional echocardiography were compared with the angiographic results. Twenty eight patients with Kawasaki diseas (male: female= 3:1, age range, 7 months-8 years) were studied by both coronary arteriography and crossleft anterior descending coronary artery, and left circumflex coronary artery) were...
Effect of immune globulin on the prevention of coronary artery aneurysm in Kawasaki disease.
Mi Jin Jung, Chung Il Noh, Jung Yun Choi, Yong Soo Yun
Clin Exp Pediatr. 1991;34(5):668-676.   Published online May 31, 1991
We compared the efficacy of each modality of treatment group in reducing the frequency of coronary artery aneurysm in children with Kawasaki syndrome. Group 1 (26 cases)-aspirin alone: Group 2 (26 cases)-intravenous gamma globulin, 400 mg per kilogram of body weight per day for five consecutive days, plus aspirin; Group 3 (21 cases)-intravenous gamma globulin, single dose of 2.0 g per kilogram of body...
The Diameter of Coronary Arteries in Infants and Children Without Heart Disease.
Young Mi Hong
Clin Exp Pediatr. 1990;33(10):1353-1361.   Published online October 31, 1990
Two dimensional echocardiographic examinations of the proximal left and right coronary artery were performed in 140 infants and children without heart disease. Eighty boys and 60 girls were studied whose ages ranged from newborn to 15 years old. The diameter of the proximal left cornonary artery was 0.8 mm in newborn and 1.9 mm in teenagers. The diameter of the proximal right coronary artery...
Congenital Coronary Artery Fistula.
Hye Jin Kim, Yoo Ho Kim, Byeung Hae Ahn, Seung Hyup Kim, Wook Youm
Clin Exp Pediatr. 1988;31(3):381-385.   Published online March 31, 1988
In a 9/12 year old male patient, the diagnosis of a right coronary artery fistula communicating with the right ventricle was made by noninvasive technique using two dimensional enchocardiography. The diagnosis was confirmed by aortography. Surgical correction was performed and the postoper- ative course was uneventful. A brief review of literatures was made.
A Case of Mucocutaneous Lymph Node Syndrome Complicated by Aseptic Meningitis, Hydrops of the Gallbladeder and Dilatation of the Coronary Arteries.
Ho Jin Lee, Sung Sook Cho, Hyung Sik Moon, Hong Kue Lee, Soon Il Lee, Young Seok Lee
Clin Exp Pediatr. 1987;30(11):1259-1264.   Published online November 30, 1987
We experienced 1 case of mucocutaneous lymph node syndrome complicated by aseptic meningitis, hydrops of the gallbladder and dilatation of the coronary arteries in 2 year 8 month old female infant. Her clinical synptoms, laboratory data and clinical courses were presented with brief review of the literatures. This baby admitted because of high fever and vomiting for 6 days. She had injection of...
Case Report
A Case of Anomalous Origin of the Left Coronary Artery from the Pulmonary Artery.
Young Seo Park, Gu Soo Kim, Jung Yeon Choi, Yong Soo Yun, Chang Yee Hong
Clin Exp Pediatr. 1984;27(3):277-281.   Published online March 31, 1984
The anomalous origin of the left coronary from the pulmonary artery is a rare congenital cardiac anomaly and there has been no case reported in Korea. We report one case of the anomalous origin of the left coronary artery from the pulmonary artery. He was an 11 month-old male body, who was suffered from congestive heart failure since 5 months of...
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