Assessment of coronary artery abnormalities in a patient with Kawasaki disease by multislice computed tomography.
The high spatial resolution of multislice computed tomography (MSCT) permits direct visualization of the coronary artery system. In this report, we describe coronary artery abnormalities in a young adult with Kawasaki disease. MSCT detected a giant coronary artery aneurysm, coronary artery stenosis in the first diagonal artery, and a multi-layered structure in the right coronary artery and the left circumflex artery. These findings corresponded well to those obtained by coronary angiography. MSCT has the potential to be the standard diagnostic tool for the follow-up evaluation of coronary artery disease in adolescents and young adults with Kawasaki disease.
Sato
Yuichi
Y
Second Department of Cardiology, Nihon University School of Medicine, Surugadai Hospital, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8309, Japan. yuichis@med.nihon-u.ac.jp
Matsumoto
Naoya
N
Inoue
Fumio
F
Imazeki
Takako
T
Kusama
Junji
J
Tamaki
Tetsuo
T
Furuhashi
Satoru
S
Takahashi
Motoichiro
M
Kanamaru
Hiroshi
H
Karasawa
Kensuke
K
Ayusawa
Mamoru
M
Harada
Kensuke
K
Kanmatsuse
Katsuo
K
D000328:Adult; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D017023:Coronary Angiography; 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