Detection of coronary artery aneurysms, stenoses and occlusions by multislice spiral computed tomography in adolescents with kawasaki disease.
In patients with Kawasaki disease (KD), serial evaluation of coronary artery aneurysms (CAAs) and luminal narrowing is essential for risk stratification and therapeutic management. Therefore, non-invasive assessment of the status of the coronary artery is of utmost importance in patient management. Multislice spiral computed tomography (MSCT) permits non-invasive visualization of the entire coronary artery system and was used in the evaluation of 4 patients with KD. CAAs and high-grade coronary artery stenoses were detected by MSCT and corroborated the findings of coronary angiograms performed within the previous 2 years. MSCT has the potential to be the standard diagnostic tool in adolescents with KD.
Department of Cardiology, Nihon University Surugadai Hospital, Tokyo, Japan. yuichisatoh@mac.com
Yuichi
Y
Sato
Masahiko
M
Kato
Fumio
F
Inoue
Takahiro
T
Fukui
Takako
T
Imazeki
Masayasu
M
Mitsui
Naoya
N
Matsumoto
Motoichiro
M
Takahashi
Kensuke
K
Karasawa
Mamoru
M
Ayusawa
Hiroshi
H
Kanamaru
Kensuke
K
Harada
Katsuo
K
Kanmatsuse
D000293:Adolescent; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D017023:Coronary Angiography; D003327:Coronary Disease / Q000000981:diagnostic imaging* / Q000209:etiology; D023921:Coronary Stenosis / Q000000981:diagnostic imaging* / Q000209:etiology; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000000981:diagnostic imaging*; D036542:Tomography, Spiral Computed / Q000379:methods*