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Late Consequences of Kawasaki Disease

1996; Lippincott Williams & Wilkins; Volume: 94; Issue: 2 Linguagem: Inglês

10.1161/01.cir.94.2.231

1524-4539

Yoshinori L. Doi, Takashi Furuno, Jun Takata, Toshikazu Yabe, Taishiro Chikamori,

Cardiac Structural Anomalies and Repair

HomeCirculationVol. 94, No. 2Late Consequences of Kawasaki Disease Free AccessResearch ArticleDownload EPUBAboutView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessResearch ArticleDownload EPUBLate Consequences of Kawasaki Disease Yoshinori L. Doi, Takashi Furuno, Jun Takata, Toshikazu Yabe and Taishiro Chikamori Yoshinori L. DoiYoshinori L. Doi the Department of Medicine and Geriatrics, Kochi Medical School, Japan. , Takashi FurunoTakashi Furuno the Department of Medicine and Geriatrics, Kochi Medical School, Japan. , Jun TakataJun Takata the Department of Medicine and Geriatrics, Kochi Medical School, Japan. , Toshikazu YabeToshikazu Yabe the Department of Medicine and Geriatrics, Kochi Medical School, Japan. and Taishiro ChikamoriTaishiro Chikamori the Department of Medicine and Geriatrics, Kochi Medical School, Japan. Originally published15 Jul 1996https://doi.org/10.1161/01.CIR.94.2.231Circulation. 1996;94:231–232A 22-year-old asymptomatic young man with a history of Kawasaki disease in early childhood was referred to our outpatient clinic because of ECG evidence of old anterior myocardial infarction. Chest radiography revealed multiple oval calcifications within the cardiac silhouette (Fig 1). At coronary angiography, bizarre coronary aneurysms associated with severe calcifications were found in the proximal portions of the left and right coronary arteries as well as in the distal portion of the right coronary artery (Fig 2; large arrows). Severe stenotic and obstructive lesions were present just proximal to and distal to these coronary aneurysms (Fig 2; small arrows). The late consequences of Kawasaki disease may become important in the future as one of the causes of premature coronary artery disease. It may, at times, be seen in a plain chest x-ray film.The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke's Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke's Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC 4-265, Houston, TX 77030.Download figureDownload PowerPoint Figure 1. Chest radiography.Download figureDownload PowerPoint Figure 2. Coronary angiography. RCA indicates right coronary artery; LCA, left coronary artery.FootnotesCorrespondence to Yoshinori Doi, MD, Department of Medicine and Geriatrics, Kochi Medical School, Oko-cho, Nankoku-shi, Kochi 783, Japan. Previous Back to top Next FiguresReferencesRelatedDetailsCited By (2008) References Color Atlas of Local and Systemic Signs of Cardiovascular Disease, 10.1002/9780470692424.refs, (103-109) HWANG B, LIU R, CHU L, LEE P, LU J and MENG L (2000) Positron emission tomography for the assessment of myocardial viability in Kawasaki disease using different therapies, Nuclear Medicine Communications, 10.1097/00006231-200007000-00006, 21:7, (631-636), Online publication date: 1-Jul-2000. Takeda S, Miyoshi S, Omori K, Utsumi T, Kogaki S, Sawa Y, Yanagisawa M and Matsuda H (1998) Pulmonary Disease Models Induced by In Vivo Hemagglutinating Virus of Japan Liposome-Mediated Endothelin-1 Gene Transfer, Journal of Cardiovascular Pharmacology, 10.1097/00005344-199800001-00093, 31, (S336-S338), . July 15, 1996Vol 94, Issue 2 Advertisement Article InformationMetrics Copyright © 1996 by American Heart Associationhttps://doi.org/10.1161/01.CIR.94.2.231 Originally publishedJuly 15, 1996 Advertisement