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Multiple Giant Aneurysms and Stenoses of the Coronary and Systemic Arteries in an Infant with Kawasaki Disease at the Early Stage of Convalescent Period
Author(s) -
Ekici Filiz,
Varan Birgül,
Kocabaş Abdullah,
Erdoğan İlkay,
Eminoğlu Sancar,
Aktaş Doğukan
Publication year - 2014
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.12535
Subject(s) - medicine , kawasaki disease , cardiology , pericardial effusion , coronary arteries , aspirin , aneurysm , myocardial infarction , artery , radiology
Myocardial infarction and systemic arterial aneurysms are rarely seen during the course of the Kawasaki disease ( KD ). Herein, we report the case of a 4‐month‐old Turkish infant who was diagnosed with KD on the 17th day of the illness. On admission, echocardiogram showed multiple coronary arterial aneurysms ( CAA s) and massive pericardial effusion. He was given intravenous immunoglobulin, aspirin and anticoagulant drugs. However, the aneurysms progressed to “super giant” CAA s, multiple huge coronary arterial thromboses developed recurrently and caused myocardial ischemia. Furthermore, the conventional angiography revealed multiple giant aneurysms and stenoses in the subclavian, celiac, and iliac arteries, besides CAA s.