[The contribution of computed tomography coronary angiography in Kawasaki disease in adult patients. Report of two cases].
OBJECTIVE
During the past few years, multislice computed tomography coronary angiography has made great progress in terms of spatial and temporal resolution. Results on detection and quantification of stenoses are excellent. We found interesting reporting its achievements in aneurismal coronaropathies such as the Kawasaki disease.


METHODS
We searched for young adults with Kawasaki disease who had a multislice computed tomography coronary angiography available. Several hospitals in the Paris area have been contacted and only two observations have been kept.


RESULTS
Computed tomography provided higher performance than coronarography for the measurement of the real diameter of an aneurism taking into account the mural thrombus, evaluation of its links with the collateral branches and the other aneurisms, assessment of the development of recanalized vessels and the degree of development of collateral vessels, and visualization of non-circulating aneurisms which were not detected with coronary angiography. In addition, the evaluation of the location and the degree of the stenoses by the computed tomography matched the coronary angiography data. It was not possible to conclude with this observations that the computed tomography is better for the diagnostic of Kawasaki disease.


CONCLUSIONS
Multislice computed tomography coronary angiography will be likely more and more used to detect and follow coronary anomalies in case of Kawasaki disease among teenagers and young adults. It is recommended for monitoring medium or large aneurisms in order to evaluate their progression to stenosis.
Michaud
L
L
Service de cardiologie, hôpital Saint-Joseph, 185, rue Raymond-Losserand, 75014 Paris, France. michaud.l@free.fr
Cador
R
R
Paul
J-F
JF
Caussin
C
C
Vignaux
O
O
Kettaneh
A
A
D000328:Adult; D017023:Coronary Angiography / Q000379:methods*; D006801:Humans; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000000981:diagnostic imaging*; D014057:Tomography, X-Ray Computed