Coronary artery aneurysm in kawasaki disease

Achala Donuru; Maansi Parekh; Vinay Kandula; Sharon Gould

doi:10.4103/apc.APC_6_20

Coronary artery aneurysm in kawasaki disease

Achala Donuru
, Maansi Parekh
, Vinay Kandula
, Sharon Gould

Thomas Jefferson University

Research output: Contribution to journal › Article › peer-review

4 Scopus citations

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 1^stdegree 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.

Original language	English
Pages (from-to)	267-268
Number of pages	2
Journal	Annals of Pediatric Cardiology
Volume	13
Issue number	3
DOIs	https://doi.org/10.4103/apc.APC_6_20
State	Published - 1 Jul 2020

Keywords

CTA
Catheterization
Coronary artery aneurysm
Kawasaki disease

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10.4103/apc.APC_6_20

Cite this

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title = "Coronary artery aneurysm in kawasaki disease",

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 1stdegree 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.",

keywords = "CTA, Catheterization, Coronary artery aneurysm, Kawasaki disease",

author = "Achala Donuru and Maansi Parekh and Vinay Kandula and Sharon Gould",

year = "2020",

month = jul,

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doi = "10.4103/apc.APC\_6\_20",

language = "English",

volume = "13",

pages = "267--268",

journal = "Annals of Pediatric Cardiology",

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}

TY - JOUR

T1 - Coronary artery aneurysm in kawasaki disease

AU - Donuru, Achala

AU - Parekh, Maansi

AU - Kandula, Vinay

AU - Gould, Sharon

PY - 2020/7/1

Y1 - 2020/7/1

N2 - 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 1stdegree 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.

AB - 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 1stdegree 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.

KW - CTA

KW - Catheterization

KW - Coronary artery aneurysm

KW - Kawasaki disease

UR - https://www.scopus.com/pages/publications/85088454506

U2 - 10.4103/apc.APC_6_20

DO - 10.4103/apc.APC_6_20

M3 - Article

AN - SCOPUS:85088454506

SN - 0974-2069

VL - 13

SP - 267

EP - 268

JO - Annals of Pediatric Cardiology

JF - Annals of Pediatric Cardiology

IS - 3

ER -

Coronary artery aneurysm in kawasaki disease

Abstract

Keywords

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