[Changes in the coronary arteries in Kawasaki disease: echocardiographic aspects].
OBJECTIVE
Evaluation of coronary anomalies in children with Kawasaki disease (KD) by two-dimensional echocardiography.


METHODS
Outpatient and Laboratory of Echocardiography in the Pediatric Cardiology Department of Santa Marta Hospital.


METHODS
Forty four children (M/F = 1.7/1) with a mean age of 2 years and 8 months (range from 2 months to 8 years) underwent Outpatient and serial echocardiographic study from July 1984 to December 1988.


RESULTS
Coronary artery anomalies were demonstrated in 13 (52%) of 44 children; 11 (25%) had uniform dilatation and 12 (27%) had aneurysms. These anomalies were never observed before the first week of illness. During a mean follow-up of 8.4 months, we have observed normalization of coronary arteries lumen, in 10 (43.4%) of the 23 cases. The anomalies remained in 13 (56.6%).


CONCLUSIONS
Coronary artery anomalies are a frequent complication of KD. In about 50% of patients, coronary artery anomalies remained in a mean follow-up of 8 months. Two-dimensional echocardiography is a good method to study coronary anomalies in KD.
Serviço de Cardiologia Pediátrica do Hospital de Santa Marta.
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Marques
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Macedo
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Lima
D002648:Child; D002675:Child, Preschool; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D004108:Dilatation, Pathologic / Q000000981:diagnostic imaging / Q000209:etiology; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D007223:Infant; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*
Alterações das artérias coronárias na doença de Kawasaki: aspectos ecocardiográficos.