Document Type
Article
Publication Date
7-1-2020
Abstract
A 3-year-old male presents to the emergency department with chief complaints of fever and vomiting. He had a positive rapid streptococcus throat test with cervical lymphadenopathy. The patient was started on antibiotics. On examination, there was diffuse erythematous macular rash on the chest. Laboratory tests revealed elevated white cell count and C-reactive protein. Electrocardiogram was notable for prolonged PR interval indicating 1st degree atrioventricular block. Echocardiogram revealed ectasia of the right coronary artery (RCA). A presumptive diagnosis of Kawasaki disease was made and the patient was started on high-dose aspirin and intravenous immunoglobulins. Cardiac computed tomography angiography (CTA) showed an aneurysm of the proximal RCA measuring up to 7.4 mm. The RCA immediately proximal to the aneurysm measured 3 mm in diameter. The Z score was 13.4. Oblique coronal image from cardiac CTA and volume rendered images demonstrated an aneurysm of the proximal RCA. The patient improved with treatment.
Recommended Citation
Donuru, Achala; Parekh, Maansi; Kandula, Vinay V R; and Gould, Sharon, "Coronary artery aneurysm in Kawasaki disease." (2020). Department of Radiology Faculty Papers. Paper 89.
https://jdc.jefferson.edu/radiologyfp/89
Creative Commons License
This work is licensed under a Creative Commons Attribution-Noncommercial-Share Alike 4.0 License.
PubMed ID
32863669
Language
English
Comments
This is the authors final version of the article published in the Annals of Pediatric Cardiology. 2020; 13(3):267-268.
The final published version of this article can be found at http://doi.org/10.4103/apc.APC_6_20
Published by Wolters Kluwer