Case Report

A 14.5-Year-Old Boy with Coronary Obstruction after Kawasaki Disease: A Case Report

Abstract

Kawasaki disease (KD) is a febrile vasculitis and is considered a leading cause of acquired coronary artery disease in children. A clinically critical complication is the coronary artery aneurysm, which may progress and lead to coronary stenosis or even obstruction. Herein, we describe a 14.5-year-old boy with a history of KD at 6 months old, who developed multiple aneurysms along all the coronary branches. During the follow-up at the age of 14 years, the left coronary artery aneurysms regressed, while the aneurysm of the right coronary artery persisted and was complicated by obstruction at its proximal part, according to computed tomography angiography. However, the patient at the last follow-up was asymptomatic and well.

The serious nature of KD coronary complications warrants follow-up visits. Since echocardiography alone may fail to reveal stenosis or obstruction, other adjunct follow-up imaging modalities such as conventional, computed tomography, and magnetic resonance angiography should be performed in patients with coronary aneurysms.

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IssueVol 17 No 2 (2022): J Teh Univ Heart Ctr QRcode
SectionCase Report(s)
DOI https://doi.org/10.18502/jthc.v17i2.9846
Keywords
Mucocutaneous lymph node syndrome Coronary aneurysm Coronary stenosis
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Creative Commons License This work is licensed under a Creative Commons Attribution-NonCommercial 4.0 International License.
How to Cite
1.
Sabri MR, Mahdavi C, Ahmadi A, Ghaderian M, Dehghan B. A 14.5-Year-Old Boy with Coronary Obstruction after Kawasaki Disease: A Case Report. J Tehran Heart Cent. 2022;17(2):82-85.