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Myocardial infarction due to thrombotic occlusion despite anticoagulation in Kawasaki disease - a case report.

Diana van StijnNikki J SchoenmakerR Nils PlankenDave R KoolbergenSamantha C GouwTaco W KuijpersNico A BlomIrene M Kuipers
Published in: BMC pediatrics (2022)
Anticoagulation and thrombolysis may be insufficient for treatment of acute coronary syndrome in case of impending thrombotic occlusion of giant coronary aneurysms in KD. Our case demonstrates that a thrombus can still continue to grow despite triple anticoagulation therapy and well-tailored cardiovascular follow-up, which can be most likely attributed to the state of low blood flow inside the aneurysm.
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