Open AccessGiant coronary artery aneurysms in a 58-year-old
Author(s) -
Anil Kumar Singhi,
Sreeja Pavithran,
Kothandam Sivakumar
Publication year - 2014
Publication title -
annals of pediatric cardiology
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/0974-2069.132502
Subject(s) - medicine , kawasaki disease , mucocutaneous lymph node syndrome , septum secundum , asymptomatic , cardiology , coronary artery aneurysm , thrombosis , right coronary artery , aneurysm , artery , surgery , myocardial infarction , coronary angiography
All giant Kawasaki aneurysms may not regress fully; some may eventually calcify, undergo thrombosis, and get detected in asymptomatic adults at later age. Tomisaku Kawasaki initially described this illness as mucocutaneous lymph node syndrome in childhood in 1967 and coronary arteritis was recognized later. We present a 58-year-old male, possibly one of the oldest surviving patients with giant coronary aneurysms who presented with large secundum atrial septal defect (ASD) with heart failure. This indicates that the disease was perhaps prevalent outside Japan even before the first Kawasaki's description.