Abstract
Cardiovascular involvement is the major cause of morbidity and mortality among children with Kawasaki disease. 1 Mitral regurgitation (MR) is one of the major determinants of long-term survival after myocardial infarction caused by Kawasaki disease. 2 Only a few reports discuss surgical treatment for this cardiac abnormality, however, and its long-term results have been unknown, 3-4 especially in patients with severe left ventricular (LV) dysfunction. In this report, we describe two cases of Kawasaki disease with refractory congestive heart failure caused by massive MR after myocardial infarction, as well as long-team results of surgical treatment (Table I).
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