Late-appearing brachiocephalic aneurysm: an atypical vascular sequella of Kawasaki disease.
Kawasaki disease (KD) is an acute vasculitis that can result in cardiovascular sequelae. One of the most serious consequences of KD is the development of arterial aneurysms that can lead to thrombosis and ischemia. Commonly, these lesions, occurring early in the course of KD, are found in the coronary arteries. However, this location is not exclusive. This report presents a case of KD with atypical findings of a late-appearing brachiocephalic artery aneurysm. The authors suggest that for patients with complicated KD, surveillance should include a careful vascular survey to discover aneurysms distant from the heart.
Yang
Gaby
G
Division of Pediatric Cardiology, Department of Pediatrics, IWK Health Centre, Dalhousie University, P.O. Box 9700, Halifax, NS, Canada, B3K 6R8.
Thompson
Deborah
D
Warren
Andrew
A
D000208:Acute Disease; D000783:Aneurysm / Q000175:diagnosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology*; D000806:Angiotensin-Converting Enzyme Inhibitors / Q000627:therapeutic use; D000900:Anti-Bacterial Agents / Q000627:therapeutic use; D001241:Aspirin / Q000627:therapeutic use; D016122:Brachiocephalic Trunk / Q000000981:diagnostic imaging / Q000473:pathology*; D002648:Child; D006801:Humans; D017706:Lisinopril / Q000627:therapeutic use; D018810:Magnetic Resonance Angiography; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000000981:diagnostic imaging / Q000473:pathology; D010406:Penicillins / Q000627:therapeutic use; D010975:Platelet Aggregation Inhibitors / Q000627:therapeutic use; D013997:Time Factors; D014463:Ultrasonography
D000806:Angiotensin-Converting Enzyme Inhibitors; D000900:Anti-Bacterial Agents; D010406:Penicillins; D010975:Platelet Aggregation Inhibitors; D017706:Lisinopril; D001241:Aspirin