[Atherosclerotic coronary ectasia or a lymphomucocutaneous syndrome in an adult (Kawasaki's disease)?].
We report the case of a 42-year-old man, who was admitted to hospital with an inferior myocardial infarction. He was treated with tissue plasminogen activator without complications in the acute phase. The stress testing performed before discharge showed residual myocardial ischemia. A catheterization study was indicated. The coronary angiogram demonstrated diffuse three vessel coronary artery aneurysmal disease. Two years before the patient had an aneurysm of the right iliac artery being operated on. The differential diagnosis of adult aneurysmal coronary disease is discussed with emphasis on Kawasaki's disease and atherosclerotic coronary artery ectasia.
Lekuona
I
I
Servicio de Cardiología, Hospital de Galdakao, Vizcaya. gcardio@hgda.osakidetza.net
Laraudogoitia
E
E
Palomar
S
S
Salcedo
A
A
Zumalde
J
J
Morillas
M
M
D000328:Adult; D003323:Coronary Aneurysm / Q000175:diagnosis; D003324:Coronary Artery Disease / Q000175:diagnosis*; D003331:Coronary Vessels / Q000473:pathology*; D003937:Diagnosis, Differential; D004108:Dilatation, Pathologic / Q000175:diagnosis; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000175:diagnosis