Giant Coronary Artery Aneurysms in Kawasaki Disease Detected by Multi Detector Computed Tomographic
Abstract
Kawasaki disease is an acute, self -limited vasculitis of unknown etiology that occurs predominantly in infants and young children. The major sequele of Kawasaki disease are related to the coronary arterial system. Cardiac imaging is a critical part in evaluation of all patients with suspected Kawasaki disease. Multi Detector CT (MDCT) provides a safe non-invasive approach to accurately delineate coronary artery anatomic structure. We report a case of a 6 years old boy with history of Kawasaki disease. Multi detector CT scan showed giant aneurysm at proximal LAD, proximal RCA and medium aneurysm at proximal LCX. Patient then treated with the anticoagulant therapy.Downloads
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References
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Chao BT., Wang XM., Wu LB., Chen J., Cheng ZW., Wu DW., Duan YH. Diagnostic value of Dual Source CT in Kawasaki Disease. Chin Med J. 2010 Mar 20; 123(6):670-4
Xing Y., Wang H., Yu X., Chen R., Hou Y. Assessment of coronary artery lesion in children with Kawasaki disease : evaluation of MSCT in comparison with 2D echocardiography. Pediatr Radiol 2009 Nov;3(11):1209-15
Renzulli M, Piovaccari G, Fattori R. Potential of multislice CT in the follow up Kawasaki coronary disease. Eur Heart J 2006(20):2384
Manghat N.E., Morgan-Hughes G.J., Coc D.I., Roobottom C.A. Giant Coronary artery aneurysm secondary to Kawasaki disease: diagnosis in adult by multi detector row CT coronary angiography. The British Journal of Radiology 2006(79):e133-136
Kim J.A., Chun E.J., Choi S.I., Kang J.W., Lee J, Lim T.H. Less Common Causes of Disease involving the coronary arteries : MDCT Findings. American Journal Radiology, 2011;197:125-130
Zamudio m.D., Perez U.B., Zarza M.C.H., Gonzales A.M., Rosas E.A., Zambrana-Balta G.F.,Kimura-Hayama E.T. Coronary Artery Anneurysms and Ectasia : Role of Coronary CT Angiography. Radiographics.rsna.org, November-December 2009;1939-1954
Chao BT., Wang XM., Wu LB., Chen J., Cheng ZW., Wu DW., Duan YH. Diagnostic value of Dual Source CT in Kawasaki Disease. Chin Med J. 2010 Mar 20; 123(6):670-4
Xing Y., Wang H., Yu X., Chen R., Hou Y. Assessment of coronary artery lesion in children with Kawasaki disease : evaluation of MSCT in comparison with 2D echocardiography. Pediatr Radiol 2009 Nov;3(11):1209-15
Renzulli M, Piovaccari G, Fattori R. Potential of multislice CT in the follow up Kawasaki coronary disease. Eur Heart J 2006(20):2384
Manghat N.E., Morgan-Hughes G.J., Coc D.I., Roobottom C.A. Giant Coronary artery aneurysm secondary to Kawasaki disease: diagnosis in adult by multi detector row CT coronary angiography. The British Journal of Radiology 2006(79):e133-136
Published
2014-03-04
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PDF downloads: 1837
How to Cite
Lilyasari, O., Roebiono, P., Prakoso, R., Rahajoe, A., Sakidjan, I., & Harimurti, G. (2014). Giant Coronary Artery Aneurysms in Kawasaki Disease Detected by Multi Detector Computed Tomographic. Indonesian Journal of Cardiology, 34(2), 133-5. https://doi.org/10.30701/ijc.v34i2.331
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