title: Multivessel giant coronary artery aneurysms in an adult with an acute coronary syndrome: latent finding of Kawasaki disease.
abstract: We present a case of a patient with an acute coronary syndrome who had the exceptionally rare finding of multivessel giant coronary artery aneurysms (>8 mm) involving the left main and ostial right coronary arteries with concomitant atherosclerotic disease. A work-up to diagnose medical conditions that would predispose the patient to giant coronary aneurysms was negative; however, a detailed history recalled a childhood hospitalization with a constellation of signs and symptoms consistent with Kawasaki disease. This demonstrates an unusual anatomy underlying a common cardiac presentation in adults that has implications for the management of the associated atherosclerotic coronary artery disease.
authors.affiliation: Brigham and Women's Hospital, Harvard Medical School, Boston, MA 02115 USA. jleopold@partners.org.
authors.forename: Tsuyoshi
authors.initials: T
authors.lastname: Kaneko
authors.forename: Jane W
authors.initials: JW
authors.lastname: Newburger
authors.forename: Jane A
authors.initials: JA
authors.lastname: Leopold
mesh_terms: D054058:Acute Coronary Syndrome / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D006328:Cardiac Catheterization; D003323:Coronary Aneurysm / Q000175:diagnosis* / Q000000981:diagnostic imaging / Q000209:etiology; D017023:Coronary Angiography; D003331:Coronary Vessels / Q000000981:diagnostic imaging*; D057210:Delayed Diagnosis; D006801:Humans; D008297:Male; D008875:Middle Aged; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications / Q000175:diagnosis*; D009203:Myocardial Infarction / Q000628:therapy; D049268:Positron-Emission Tomography