title: Lipid-rich plaque in possible coronary sequelae of Kawasaki disease detected by optical frequency domain imaging.
abstract: Potential risk for early development of atherosclerosis in patients with antecedent-Kawasaki disease (KD) is now attracting more attention. A 47-year-old man was admitted to our hospital because of calcification exclusively in the proximal segment of left anterior descending coronary artery (LAD) on chest CT. Coronary CT revealed a severe stenosis at the inlet of the aneurysm with eggshell-like calcification in the proximal LAD, highly suspecting the presence of coronary sequelae of KD. During the rotational atherectomy-based interventional procedure, optical frequency domain imaging, a new generation of optical coherence tomography, clearly depicted lipid deposition in the culprit lesion.
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi Higashiyama-ku, Kyoto, 605-0981, Japan. risa11221998@yahoo.co.jp.
authors.forename: Jun
authors.initials: J
authors.lastname: Shiraishi
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Masaki
authors.initials: M
authors.lastname: Yashige
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Masayuki
authors.initials: M
authors.lastname: Hyogo
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Takatomo
authors.initials: T
authors.lastname: Shima
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Takahisa
authors.initials: T
authors.lastname: Sawada
authors.affiliation: Department of Cardiology, Kyoto First Red Cross Hospital, Honmachi Higashiyama-ku, Kyoto, 605-0981, Japan.
authors.forename: Yoshio
authors.initials: Y
authors.lastname: Kohno
mesh_terms: D017023:Coronary Angiography / Q000379:methods*; D003324:Coronary Artery Disease / Q000175:diagnosis* / Q000209:etiology; D003331:Coronary Vessels / Q000473:pathology; D006801:Humans; D008055:Lipids; D008297:Male; D008875:Middle Aged; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications* / Q000175:diagnosis; D058226:Plaque, Atherosclerotic / Q000175:diagnosis* / Q000209:etiology / Q000378:metabolism; D041623:Tomography, Optical Coherence / Q000379:methods*
chemical_list: D008055:Lipids
keywords: Intravascular ultrasound imaging; Kawasaki disease; Optical coherence tomography; Optical frequency domain imaging; Rotational atherectomy