Coronary aneurysms in Kawasaki disease.
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Kawasaki disease is one of the common heart diseases of children in recent years. Coronary artery aneurysms are the most serious sequelae of Kawasaki disease and may result in thrombosis and myocardial infarction. Whilst two dimensional echocardiography is a useful method of detecting abnormalities of the proximal coronary arteries, coronary angiography is the most sensitive and specific method of assessing coronary artery aneurysms secondary to Kawasaki disease. Fifty six patients with Kawasaki disease underwent coronary angiography. Of these patients, thirteen (23%) have cardiovascular involvements, most of which are coronary aneurysms. Several patients have simultaneously various kinds of involvements such as coronary aneurysms, stenosis, and peripheral artery aneurysms. Regression of coronary aneurysms tends to take place during early phase after the acute illness and in younger children. Coronary aneurysms found in older children (over fifteen years of age) may remain and lead to thrombus formation and calcification. Localization of coronary aneurysms resemble to that of atherosclerotic coronary stenosis in the adult.We give emphasis that it is important to examine coronary artery involvements of the patient with Kawasaki disease in the past.
- 一般社団法人 国立医療学会の論文
一般社団法人 国立医療学会 | 論文
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