title: The Coincidence of 3 Different Rare Coronary Artery Anomalies in an Adult Patient With Untreated Kawasaki Disease: Case Report.
abstract: The coincidence of 3 different rare coronary artery anomalies is extremely rare, and has not been reported so far.We report multiple imaging findings of a giant coronary artery aneurysm, which has a fistulous connection to the right ventricle associated with anomalous origin of the anterior descending coronary artery from the right coronary artery in a 67-year-old woman who suffered with a 20-year history of progressively chest distress on exertion and a history of untreated Kawasaki disease in her childhood.The patient received surgical treatment. The aneurysm was resected and openings at both ends being oversewn. And the fistula was also closed directly. She recovered and discharged uneventfully.The coincidence of 3 different rare coronary artery anomalies in adult patient with untreated Kawasaki disease is a rare and complicated condition, in which surgical treatment is recommended.
authors.affiliation: From the Department of Ultrasonography (XJ, SL, BX, LZ, HZ, XZ, XN, BC), Department of Radiology (XZ), The First Affiliated Hospital of Wenzhou Medical University, Wenzhou, Zhejiang, China.
authors.forename: Xin
authors.initials: X
authors.lastname: Jiang
authors.forename: Shusheng
authors.initials: S
authors.lastname: Liao
authors.forename: Bin
authors.initials: B
authors.lastname: Xiong
authors.forename: Lei
authors.initials: L
authors.lastname: Zheng
authors.forename: Huijia
authors.initials: H
authors.lastname: Zhu
authors.forename: Xuelian
authors.initials: X
authors.lastname: Zhu
authors.forename: Xianda
authors.initials: X
authors.lastname: Ni
authors.forename: Xiangwu
authors.initials: X
authors.lastname: Zheng
authors.forename: Bin
authors.initials: B
authors.lastname: Chen
mesh_terms: D000328:Adult; D003323:Coronary Aneurysm / Q000150:complications*; D003330:Coronary Vessel Anomalies / Q000145:classification / Q000150:complications*; D005260:Female; D005402:Fistula / Q000150:complications*; D006331:Heart Diseases / Q000150:complications*; D006801:Humans; D009080:Mucocutaneous Lymph Node Syndrome / Q000150:complications*