Case report: Giant coronary aneurysm caused by Kawasaki disease: follow-up with echocardiography and multidetector CT angiography.
Giant coronary artery aneurysms caused by Kawasaki disease are not common; however, they are one of the most serious complications and can be fatal. Here, we describe a 5-year-old girl with Kawasaki disease who initially had normal coronary arteries. Despite intravenous immunoglobulin, she developed progressive giant coronary artery aneurysms. Echocardiography is a non-invasive tool for imaging the condition but it does have some limitations, whereas selective coronary angiography is the gold standard. However, multidetector CT may be a better non-invasive tool, alternate to invasive catheterized selective coronary angiography, in the long-term follow-up of patients with a giant coronary aneurysm.
Khositseth
A
A
Department of Paediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand. alaks@diamond.mahidol.ac.th
Siripornpitak
S
S
Pornkul
R
R
Wanitkun
S
S
D002675:Child, Preschool; D003323:Coronary Aneurysm / Q000000981:diagnostic imaging* / Q000209:etiology; D017023:Coronary Angiography / Q000379:methods; D004452:Echocardiography; D005260:Female; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*; D014057:Tomography, X-Ray Computed