title: Giant coronary artery aneurysms in a 58-year-old.
abstract: All giant Kawasaki aneurysms may not regress fully; some may eventually calcify, undergo thrombosis, and get detected in asymptomatic adults at later age. Tomisaku Kawasaki initially described this illness as mucocutaneous lymph node syndrome in childhood in 1967 and coronary arteritis was recognized later. We present a 58-year-old male, possibly one of the oldest surviving patients with giant coronary aneurysms who presented with large secundum atrial septal defect (ASD) with heart failure. This indicates that the disease was perhaps prevalent outside Japan even before the first Kawasaki's description.
authors.affiliation: Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.
authors.forename: Anil Kumar
authors.initials: AK
authors.lastname: Singhi
authors.affiliation: Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.
authors.forename: Sreeja
authors.initials: S
authors.lastname: Pavithran
authors.affiliation: Department of Pediatric Cardiology, Madras Medical Mission, Chennai, Tamil Nadu, India.
authors.forename: Kothandam
authors.initials: K
authors.lastname: Sivakumar
keywords: Atrial septal defect; Kawasaki disease; giant coronary aneurysm