Rev. DERC (Online) 2020; 26(3): 134-138
Adolescent Athlete with Severe Coronary Obstruction Secondary to Kawasaki Disease
Abstract
Background and objectives:
Kawasaki disease (KD) is a vasculitis of unknown etiology that usually occurs in childhood. Acute disease is self-limiting., Children with KD may have severe cardiovascular sequelae, particularly abnormalities of the coronary arteries that can lead to myocardial ischemia, infarction and sudden death. The initial pre-participation assessment (PPA) in adolescent athletes according to most guidelines consists only of anamnesis, physical examination and electrocardiogram.,– The purpose of this report was to describe the case of a 15-year-old teenager, a high-performance athlete, who had severe coronary artery disease secondary to KD.
Case report:
Athlete, 15 years old, male, soccer player, performed PPA, asymptomatic, normal physical examination with electrocardiogram, normal stress test and echocardiogram. Previous pathological history of KD at 2 years of age. Coronary artery angiotomography was requested, which showed a subocclusive lesion of the proximal third of the right coronary artery, which underwent cineangiocoronariography and then the placement of an intracoronary stent. Therefore, he was disqualified to practice the profession of professional soccer player.
Conclusion:
PPA is essential for high performance athletes and a detailed anamnesis should always be performed. Individuals with a previous history of KD should always be screened for coronary heart disease and the propaedeutics and therapeutics must be rigorous to evaluate the disqualification of the same.
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