Comprehensive evaluation of a patient with Kawasaki disease and giant coronary aneurysms with cardiac magnetic resonance.
In patients with Kawasaki disease (KD) and coronary artery aneurysms (CAAs), serial evaluation with multiple imaging modalities is recommended to guide risk stratification and management. We present the case of a 7-year-old boy with a history of KD and multiple giant CAAs who developed thrombosis in one of the aneurysms. We illustrate how cardiac magnetic resonance is unique in allowing a comprehensive assessment in patients with severe KD and how it may affect their management.
The Labatt Family Heart Centre, Department of Paediatrics, The Hospital for Sick Children, University of Toronto, Toronto, Canada; Department of Diagnostic Imaging, The Hospital for Sick Children, University of Toronto, Toronto, Canada.
Milan
M
Prsa
Tarique
T
Hussain
Brian W
BW
McCrindle
Lars
L
Grosse-Wortmann
D002648:Child; D003287:Contrast Media; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000209:etiology / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D017023:Coronary Angiography; D003326:Coronary Circulation; D019786:Gadolinium DTPA; D006801:Humans; D018810:Magnetic Resonance Angiography; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis* / Q000473:pathology / Q000503:physiopathology / Q000628:therapy; D011237:Predictive Value of Tests; D011379:Prognosis; D012720:Severity of Illness Index; D013927:Thrombosis / Q000175:diagnosis / Q000209:etiology; D014665:Vasodilator Agents
D003287:Contrast Media; D014665:Vasodilator Agents; D019786:Gadolinium DTPA
Cardiac Magnetic Resonance; Coronary Artery Aneurysm; Kawasaki Disease; Perfusion Defect; Thrombosis; Vessel Wall Enhancement