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Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review
BACKGROUND: Kawasaki disease (KD) is a self-limiting febrile illness and an acute vasculitis with an unknown origin. It predominantly affects children aged < 5 years. KD is the common cause of acquired heart disease in children. We here report a case of KD in an asymptomatic young female patient...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
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Baishideng Publishing Group Inc
2022
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561567/ https://www.ncbi.nlm.nih.gov/pubmed/36246810 http://dx.doi.org/10.12998/wjcc.v10.i28.10266 |
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author | He, Ying Ji, Hao Xie, Jian-Chang Zhou, Liang |
author_facet | He, Ying Ji, Hao Xie, Jian-Chang Zhou, Liang |
author_sort | He, Ying |
collection | PubMed |
description | BACKGROUND: Kawasaki disease (KD) is a self-limiting febrile illness and an acute vasculitis with an unknown origin. It predominantly affects children aged < 5 years. KD is the common cause of acquired heart disease in children. We here report a case of KD in an asymptomatic young female patient diagnosed with multiple coronary aneurysms with calcification. CASE SUMMARY: A 29-year-old female patient admitted to Hangzhou First People's Hospital with coronary artery abnormality identified for 1 wk. The patient was asymptomatic; however, chest computed tomography occasionally revealed strip-like dense shadows in the coronal sulcus. After coronary angiography and Doppler echocardiography, the final diagnosis was coronary artery aneurysms (CAAs) caused by KD. Although the patient was asymptomatic with no history of KD in childhood, the definitive diagnosis was CAAs caused by KD. The patient was administered anticoagulant, and surgical treatment was recommended. CONCLUSION: KD potentially causes CAAs in 25% of untreated cases, primarily occurring in the proximal portions of the coronary arteries. |
format | Online Article Text |
id | pubmed-9561567 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Baishideng Publishing Group Inc |
record_format | MEDLINE/PubMed |
spelling | pubmed-95615672022-10-15 Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review He, Ying Ji, Hao Xie, Jian-Chang Zhou, Liang World J Clin Cases Case Report BACKGROUND: Kawasaki disease (KD) is a self-limiting febrile illness and an acute vasculitis with an unknown origin. It predominantly affects children aged < 5 years. KD is the common cause of acquired heart disease in children. We here report a case of KD in an asymptomatic young female patient diagnosed with multiple coronary aneurysms with calcification. CASE SUMMARY: A 29-year-old female patient admitted to Hangzhou First People's Hospital with coronary artery abnormality identified for 1 wk. The patient was asymptomatic; however, chest computed tomography occasionally revealed strip-like dense shadows in the coronal sulcus. After coronary angiography and Doppler echocardiography, the final diagnosis was coronary artery aneurysms (CAAs) caused by KD. Although the patient was asymptomatic with no history of KD in childhood, the definitive diagnosis was CAAs caused by KD. The patient was administered anticoagulant, and surgical treatment was recommended. CONCLUSION: KD potentially causes CAAs in 25% of untreated cases, primarily occurring in the proximal portions of the coronary arteries. Baishideng Publishing Group Inc 2022-10-06 2022-10-06 /pmc/articles/PMC9561567/ /pubmed/36246810 http://dx.doi.org/10.12998/wjcc.v10.i28.10266 Text en ©The Author(s) 2022. Published by Baishideng Publishing Group Inc. All rights reserved. https://creativecommons.org/licenses/by-nc/4.0/This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. |
spellingShingle | Case Report He, Ying Ji, Hao Xie, Jian-Chang Zhou, Liang Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review |
title | Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review |
title_full | Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review |
title_fullStr | Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review |
title_full_unstemmed | Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review |
title_short | Coronary artery aneurysms caused by Kawasaki disease in an adult: A case report and literature review |
title_sort | coronary artery aneurysms caused by kawasaki disease in an adult: a case report and literature review |
topic | Case Report |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9561567/ https://www.ncbi.nlm.nih.gov/pubmed/36246810 http://dx.doi.org/10.12998/wjcc.v10.i28.10266 |
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