<症例>冠動脈と腎動脈に動脈瘤を認め川崎病後遺症が疑われた1成人例

概要

論文の詳細を見る
A 39-year-old man was hospitalized because of a syncopal attack. There was a mitral ring calcification on the chest X ray films and 2-dimensional echocardiogram. The electrocardiogram showed ST-segment depression and negative T wave in the leads I, II, _aV_L, V_<5,6> and small Q wave in the leads V_<5,6>, and abnormal Q wave in the lead in V_4. These changes were found on the electrocardiogram taken 11 years before. A treadmill test showed a further ST-segment depression in V_<5,6> with mild chest pain. Stress thallium-201 myocardial scintigraphy showed perfusion defects at the apex and posterolateral wall, and redistribution at the posterolateral wall. Coronary angiography demonstrated 90% stenosis and a 7mm-sized aneurysm in the left circumflex artery. The proximal portion of the left anterior descending artery was completely occluded, and the occlusion was supplied with the huge collaterals from the right coronary artery. The right renal artery angiogram demonstrated multiple small aneurysms of 2 mm in size and numerous tortuous arteries. He gave no history of diabetes mellitus, hyperlipidemia and trauma. The syncopal attack was considered to be due to tachyarrhythmia because frequent ventricular premature beats and short run of ventricular tachycardia were recorded on admission. It may be deduced from the episode of high fever and eruption the patient had at the age of 4 years that the aneurysms of the coronary and the renal arteries of this case were probably caused by Kawasaki disease.
近畿大学の論文
1988-09-25

<症例>冠動脈と腎動脈に動脈瘤を認め川崎病後遺症が疑われた1成人例

スポンサーリンク

概要

著者

関連論文

スポンサーリンク