Published in:
01-10-2015 | Case Report
Lipid-rich plaque in possible coronary sequelae of Kawasaki disease detected by optical frequency domain imaging
Authors:
Jun Shiraishi, Masaki Yashige, Masayuki Hyogo, Takatomo Shima, Takahisa Sawada, Yoshio Kohno
Published in:
Cardiovascular Intervention and Therapeutics
|
Issue 4/2015
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Abstract
Potential risk for early development of atherosclerosis in patients with antecedent-Kawasaki disease (KD) is now attracting more attention. A 47-year-old man was admitted to our hospital because of calcification exclusively in the proximal segment of left anterior descending coronary artery (LAD) on chest CT. Coronary CT revealed a severe stenosis at the inlet of the aneurysm with eggshell-like calcification in the proximal LAD, highly suspecting the presence of coronary sequelae of KD. During the rotational atherectomy-based interventional procedure, optical frequency domain imaging, a new generation of optical coherence tomography, clearly depicted lipid deposition in the culprit lesion.