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.
Highlights
Kawasaki disease is an acute, self -limited vasculitis of unknown etiology that occurs predominantly in infants and young children
A6 years old boy was diagnosed with Kawasaki disease 3 months before admission and previously treated with intravenous immunoglobulin
The coronary aneurysms involving the proximal of Left Anterior Descending (LAD) measuring 8.2 in diameter and 20.6mm in length, proximal Left Circumflex (LCX) measuring 6.4mm in diameter and 18.7 mm in length, and proximal Right Coronary Artery (RCA) measuring 10.9mm in diameter and 30.8 mm in length (Figure 1)
Summary
Oktavia Lilyasari, Poppy S Roebiono, Radityo Prakoso, Anna Ulfah Rahajoe, Indriwanto Sakidjan, Ganesja M Harimurti. 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.
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