Internal Medicine
Online ISSN : 1349-7235
Print ISSN : 0918-2918
ISSN-L : 0918-2918
CASE REPORTS
Giant Coronary Artery Aneurysms Associated with Kawasaki Disease Detected on Whole-heart Magnetic Resonance Coronary Angiographic Screening
Yuki Ohmoto-Sekine, Makiko Ishihara, Shiun Dong Hsieh, Kazuhisa Amakawa, Shigeko Hara, Hiroshi Tsuji, Rieko Ishimura, Sugao Ishiwata, Tetsu Yamaguchi, Minoru Ohno, Yasuji Arase
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Keywords: coronary artery aneurysm, Kawasaki disease, health checkup, whole-heart magnetic resonance coronary angiography (WH MRCA)
JOURNAL OPEN ACCESS

2013 Volume 52 Issue 9 Pages 977-980

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Abstract

Kawasaki disease (KD) is one of the most important causes of coronary artery aneurysms in children and young adults. However, the natural course of the disease and the patient prognosis remain obscure. A 72-year-old asymptomatic man with undiagnosed KD underwent whole-heart magnetic resonance coronary angiography during a health checkup. The imaging disclosed giant aneurysms in the proximal portion of the right coronary artery and the left anterior descending artery. The patient was successfully treated with coronary artery bypass grafting. The present case suggests that there may be a substantial number of patients who have attained middle to old age with undiagnosed KD.

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© 2013 by The Japanese Society of Internal Medicine
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