Sudden death in a young adult due to coronary artery aneurysm secondary to suspected Kawasaki disease.
A healthy 17-year-old Chinese male suddenly collapsed and died during a game of badminton. The autopsy examination revealed a solitary calcified aneurysm of the left common coronary artery with marked stenosis of the orifices of the anterior descending and circumflex branches. Histology of the aneurysm was non-specific with hyalinised scar tissue and foci of calcification. The only illness of significance in the past was an episode of 'pyrexia of unknown origin' at the age of 8 months. A review of the notes of that hospital admission revealed that the illness was most probably Kawasaki disease.
Subramaniam
S
S
Department of Pathology, Faculty of Medicine, University of Malaya, Kuala Lumpur.
Boo
K
K
D000293:Adolescent; D003323:Coronary Aneurysm / Q000150:complications* / Q000209:etiology / Q000473:pathology; D016757:Death, Sudden, Cardiac / Q000209:etiology* / Q000473:pathology; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000473:pathology