Intracoronary urokinase and post-thrombolytic regimen in an infant with Kawasaki disease and acute myocardial infarction.

Acute myocardial infarction is the most serious complication of Kawasaki disease and is often fatal.1 2 We describe a case successfully treated by intracoronary thrombolysis. A 13 month old boy with Kawasaki disease was found to have multiple coronary artery aneurysms 25 days after onset of illness. He was treated with aspirin and dipyridamole but four months later he presented with acute anterior myocardial infarction. Coronary angiography showed occlusion of the proximal left anterior descending …