Skip to main content
Top
Published in: Pediatric Cardiology 1/2008

01-01-2008 | Case Report

Detectable Silent Calcification in a Regressed Coronary Artery Aneurysm of a Young Adult with a History of Kawasaki Disease

Authors: J. Muneuchi, K. Joo, E. Morihana, A. Mizushima

Published in: Pediatric Cardiology | Issue 1/2008

Login to get access

Excerpt

Kawasaki disease is characterized as self-limited vasculites during infancy and childhood. The involvement of coronary arteries occurs in 15% to 20% of patients with Kawasaki disease during the acute phase of the illness [9]. Serial studies of coronary angiography demonstrate that the majority of small to moderate-size coronary artery aneurysms tend to regress within several years. However, large coronary arterial lesions progress to stenosis, complete obstruction, intraarterial thrombi, or calcification, which can lead to fatal myocardial ischemia [2, 3]. …
Literature
1.
go back to reference Achenbach S, Ulzheimer S, Baum U, et al. (2000) Noninvasive coronary angiography by retrospectively ECG-gated multislice spiral CT. Circulation 102:2823–2828PubMed Achenbach S, Ulzheimer S, Baum U, et al. (2000) Noninvasive coronary angiography by retrospectively ECG-gated multislice spiral CT. Circulation 102:2823–2828PubMed
2.
go back to reference Akagi T, Rose V, Benson LN, et al. (1992) Outcome of coronary artery aneurysms after Kawasaki disease. J Pediatr 121:689–694PubMedCrossRef Akagi T, Rose V, Benson LN, et al. (1992) Outcome of coronary artery aneurysms after Kawasaki disease. J Pediatr 121:689–694PubMedCrossRef
3.
go back to reference Burns JC, Shike H, Gordon JB, et al. (1996) Sequelae of Kawasaki disease in adolescents and young adults. J Am Coll Cardiol 28:253–257PubMedCrossRef Burns JC, Shike H, Gordon JB, et al. (1996) Sequelae of Kawasaki disease in adolescents and young adults. J Am Coll Cardiol 28:253–257PubMedCrossRef
4.
go back to reference Dadlani GH, Gingell RL, Orie JD, et al. (2001) Kawasaki patients with coronary artery calcifications detected by ultrafast CT scan: A pediatric population that may be at risk for early artherosclerosis (abstract). Circulation 104:2439 Dadlani GH, Gingell RL, Orie JD, et al. (2001) Kawasaki patients with coronary artery calcifications detected by ultrafast CT scan: A pediatric population that may be at risk for early artherosclerosis (abstract). Circulation 104:2439
5.
go back to reference Dadlani GH, Gingell RL, Orie JD, et al. (2005) Coronary artery calcifications in the long-term follow-up of Kawasaki disease. Am Heart J 150:1016.e1–1016.e8CrossRef Dadlani GH, Gingell RL, Orie JD, et al. (2005) Coronary artery calcifications in the long-term follow-up of Kawasaki disease. Am Heart J 150:1016.e1–1016.e8CrossRef
6.
go back to reference Fujiwara T, Fujiwara H, Ueda T, Nishioka K, Hamashima Y (1986) Comparison of microscopic, postmortem, angiographic, and two-dimensional echocardiographic findings of coronary aneurysms in children with Kawasaki disease. Am J Cardiol 57:761PubMedCrossRef Fujiwara T, Fujiwara H, Ueda T, Nishioka K, Hamashima Y (1986) Comparison of microscopic, postmortem, angiographic, and two-dimensional echocardiographic findings of coronary aneurysms in children with Kawasaki disease. Am J Cardiol 57:761PubMedCrossRef
7.
go back to reference Ino T, Shimazaki S, Akimoto K, et al. (1990) Coronary artery calcification in Kawasaki disease. Pediatr Radiol 20:520–532PubMedCrossRef Ino T, Shimazaki S, Akimoto K, et al. (1990) Coronary artery calcification in Kawasaki disease. Pediatr Radiol 20:520–532PubMedCrossRef
8.
go back to reference Kanamaru H, Sato Y, Takayama T, et al. (2005) Assessment of coronary artery abnormalities by multislice spiral computed tomography in adolescents and young adults with Kawasaki disease. Am J Cardiol 95:522–525PubMedCrossRef Kanamaru H, Sato Y, Takayama T, et al. (2005) Assessment of coronary artery abnormalities by multislice spiral computed tomography in adolescents and young adults with Kawasaki disease. Am J Cardiol 95:522–525PubMedCrossRef
9.
go back to reference Kato H, Sugimura T, Akagi T, et al. (1996) Long-term consequences of Kawasaki disease: A 10–21-year follow-up study of 594 patients. Circulation 94:1379–1385PubMed Kato H, Sugimura T, Akagi T, et al. (1996) Long-term consequences of Kawasaki disease: A 10–21-year follow-up study of 594 patients. Circulation 94:1379–1385PubMed
10.
go back to reference Sugimura T, Kato H, Inoue O, et al. (1994) Intravascular ultrasound of coronary arteries in children: Assessment of the wall morphology and the lumen after Kawasaki disease. Circulation 89:258–265PubMed Sugimura T, Kato H, Inoue O, et al. (1994) Intravascular ultrasound of coronary arteries in children: Assessment of the wall morphology and the lumen after Kawasaki disease. Circulation 89:258–265PubMed
11.
go back to reference Suzuki A, Yamagishi M, Kimura K, et al. (1996) Functional behavior and morphology of the coronary artery wall in patients with Kawasaki disease assessed by intravascular ultrasound. J Am Coll Cardiol 27:291–296PubMedCrossRef Suzuki A, Yamagishi M, Kimura K, et al. (1996) Functional behavior and morphology of the coronary artery wall in patients with Kawasaki disease assessed by intravascular ultrasound. J Am Coll Cardiol 27:291–296PubMedCrossRef
12.
go back to reference Tsuda E, Hanatani A, Kurosaki K, Naito H, Echigo S (2006) Two young adults who had acute coronary syndrome after regression of coronary aneurysms caused by Kawasaki disease in infancy. Pediatr Cardiol 27:372–375PubMedCrossRef Tsuda E, Hanatani A, Kurosaki K, Naito H, Echigo S (2006) Two young adults who had acute coronary syndrome after regression of coronary aneurysms caused by Kawasaki disease in infancy. Pediatr Cardiol 27:372–375PubMedCrossRef
13.
go back to reference Tsuda E, Kamiya T, Kimura K, Ono Y, Echigo S (2002) Coronary artery dilatation exceeding 4.0 mm during acute Kawasaki disease predicts a high probability of subsequent late intima-medial thickening. Pediatr Cardiol 23:9–14PubMedCrossRef Tsuda E, Kamiya T, Kimura K, Ono Y, Echigo S (2002) Coronary artery dilatation exceeding 4.0 mm during acute Kawasaki disease predicts a high probability of subsequent late intima-medial thickening. Pediatr Cardiol 23:9–14PubMedCrossRef
Metadata
Title
Detectable Silent Calcification in a Regressed Coronary Artery Aneurysm of a Young Adult with a History of Kawasaki Disease
Authors
J. Muneuchi
K. Joo
E. Morihana
A. Mizushima
Publication date
01-01-2008
Publisher
Springer-Verlag
Published in
Pediatric Cardiology / Issue 1/2008
Print ISSN: 0172-0643
Electronic ISSN: 1432-1971
DOI
https://doi.org/10.1007/s00246-007-9062-6

Other articles of this Issue 1/2008

Pediatric Cardiology 1/2008 Go to the issue