A young man with myocardial infarction and a calcified coronary artery aneurysm on chest radiography.
Kawasaki disease (mucocutaneous lymph node syndrome) is a syndrome of generalised vasculitis and is the leading cause of acquired heart disease in children. Coronary arterial abnormalties occur in 20% of cases, with coronary artery aneurysms being the most predominant vascular abnormality in this condition. Although death may occur secondary to thrombotic coronary artery occlusion usually within the first year of the illness, myocardial infarction may occur several years after the onset of the disease. Here, we report a case of a young man presenting with ischaemic chest pain, an ECG suggestive of an anteroseptal infarction and a childhood illness consistent with Kawasaki disease.
Mirza
I
I
The Oxford Heart Centre, John Radcliffe Hospital, Oxford, UK. intisarmirza@hotmail.com
Gribbin
B
B
Forfar
C
C
D000328:Adult; D002114:Calcinosis / Q000000981:diagnostic imaging / Q000209:etiology; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging / Q000209:etiology*; D017023:Coronary Angiography; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000000981:diagnostic imaging; D009203:Myocardial Infarction / Q000000981:diagnostic imaging / Q000209:etiology*