CC BY-NC-ND 4.0 · Indian J Radiol Imaging 2023; 33(04): 563-566
DOI: 10.1055/s-0043-1771363
Case Report

A Giant Coronary Aneurysm in a Suspected Kawasaki Disease Causing Asymptomatic Myocardial Ischemia

1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Rohit Walse
1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Bhagwati Prasad Pant
1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Sreevilasam P. Abhilash
1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
,
Bijulal Sasidharan
1   Department of Cardiology, Sree Chitra Tirunal Institute for Medical Sciences and Technology, Thiruvananthapuram, Kerala, India
› Author Affiliations
Funding None.

Abstract

Coronary involvement in Kawasaki disease is not uncommon; however, giant coronary aneurysm exceeding 50 mm is extremely rare. In this article, we presented a case of giant coronary aneurysm involving right coronary artery with associated asymptomatic myocardial ischemia as evident by multimodality imaging.

Note

Patient consent for publication was duly obtained for this study.




Publication History

Article published online:
30 July 2023

© 2023. Indian Radiological Association. This is an open access article published by Thieme under the terms of the Creative Commons Attribution-NonDerivative-NonCommercial License, permitting copying and reproduction so long as the original work is given appropriate credit. Contents may not be used for commercial purposes, or adapted, remixed, transformed or built upon. (https://creativecommons.org/licenses/by-nc-nd/4.0/)

Thieme Medical and Scientific Publishers Pvt. Ltd.
A-12, 2nd Floor, Sector 2, Noida-201301 UP, India

 
  • References

  • 1 Eshtehardi P, Cook S, Moarof I, Triller H-J, Windecker S. Giant coronary artery aneurysm: imaging findings before and after treatment with a polytetrafluoroethylene-covered stent. Circ Cardiovasc Interv 2008; 1 (01) 85-86
  • 2 Kato H, Sugimura T, Akagi T. et al. Long-term consequences of Kawasaki disease. A 10- to 21-year follow-up study of 594 patients. Circulation 1996; 94 (06) 1379-1385
  • 3 Sleeper LA, Minich LL, McCrindle BM. et al; Pediatric Heart Network Investigators. Evaluation of Kawasaki disease risk-scoring systems for intravenous immunoglobulin resistance. J Pediatr 2011; 158 (05) 831-835.e3
  • 4 Suda K, Iemura M, Nishiono H. et al. Long-term prognosis of patients with Kawasaki disease complicated by giant coronary aneurysms: a single-institution experience. Circulation 2011; 123 (17) 1836-1842
  • 5 Singhal M, Singh S, Gupta P, Sharma A, Khandelwal N, Burns JC. Computed tomography coronary angiography for evaluation of children with Kawasaki disease. Curr Probl Diagn Radiol 2018; 47 (04) 238-244
  • 6 Tsuda E, Singhal M. Role of imaging studies in Kawasaki disease. Int J Rheum Dis 2018; 21 (01) 56-63
  • 7 Singhal M, Pilania RK, Jindal AK. et al. Distal coronary artery abnormalities in Kawasaki disease: experience on CT coronary angiography in 176 children. Rheumatology (Oxford) 2023; 62 (02) 815-823
  • 8 Keyser A, Hilker MK, Husser O, Diez C, Schmid C. Giant coronary aneurysms exceeding 5 cm in size. Interact Cardiovasc Thorac Surg 2012; 15 (01) 33-36
  • 9 Luckraz H, Parums DV, Dunning J. Reverse saphenous interposition vein graft repair of a giant atherosclerotic aneurysm of the left anterior descending coronary artery. J Thorac Cardiovasc Surg 2002; 123 (04) 817-820
  • 10 Dajani AS, Taubert KA, Gerber MA. et al. Diagnosis and therapy of Kawasaki disease in children. Circulation 1993; 87 (05) 1776-1780
  • 11 Burns JC, Shike H, Gordon JB, Malhotra A, Schoenwetter M, Kawasaki T. Sequelae of Kawasaki disease in adolescents and young adults. J Am Coll Cardiol 1996; 28 (01) 253-257
  • 12 Kumar G, Karon BL, Edwards WD, Puga FJ, Klarich KW. Giant coronary artery aneurysm causing superior vena cava syndrome and congestive heart failure. Am J Cardiol 2006; 98 (07) 986-988