title: Giant coronary artery aneurysms associated with Kawasaki disease detected on whole-heart magnetic resonance coronary angiographic screening.
abstract: Kawasaki disease (KD) is one of the most important causes of coronary artery aneurysms in children and young adults. However, the natural course of the disease and the patient prognosis remain obscure. A 72-year-old asymptomatic man with undiagnosed KD underwent whole-heart magnetic resonance coronary angiography during a health checkup. The imaging disclosed giant aneurysms in the proximal portion of the right coronary artery and the left anterior descending artery. The patient was successfully treated with coronary artery bypass grafting. The present case suggests that there may be a substantial number of patients who have attained middle to old age with undiagnosed KD.
authors: Health Management Center, Toranomon Hospital, Japan. yoomoto@toranomon.gr.jp
authors: Yuki
authors: Y
authors: Ohmoto-Sekine
authors: Makiko
authors: M
authors: Ishihara
authors: Shiun Dong
authors: SD
authors: Hsieh
authors: Kazuhisa
authors: K
authors: Amakawa
authors: Shigeko
authors: S
authors: Hara
authors: Hiroshi
authors: H
authors: Tsuji
authors: Rieko
authors: R
authors: Ishimura
authors: Sugao
authors: S
authors: Ishiwata
authors: Tetsu
authors: T
authors: Yamaguchi
authors: Minoru
authors: M
authors: Ohno
authors: Yasuji
authors: Y
authors: Arase
mesh_terms: D000368:Aged; D058070:Asymptomatic Diseases; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology / Q000473:pathology / Q000601:surgery; D017023:Coronary Angiography; D047549:Coronary Artery Bypass, Off-Pump; D003331:Coronary Vessels / Q000601:surgery; D057210:Delayed Diagnosis; D003935:Diagnostic Techniques, Cardiovascular; D018450:Disease Progression; D005080:Exercise Test; D024405:Gastroepiploic Artery / Q000601:surgery; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods*; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*