Kawasaki disease and giant coronary artery aneurysms: the role of echocardiography from diagnosis through follow-up

Kawasaki disease is an acquired vasculitis that can affect the coronary arteries placing the patient at risk for coronary artery thrombosis, myocardial ischemia and infarction. The risk of complications related to coronary artery involvement persists for years despite recovery from the acute illness...

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Published inEchocardiography (Mount Kisco, N.Y.) Vol. 33; no. 8; pp. 1245 - 1250
Main Authors Adler, Adam C., Kodavatiganti, Ramesh
Format Journal Article
LanguageEnglish
Published United States Blackwell Publishing Ltd 01.08.2016
Subjects
Child
Child, Preschool
Coronary Aneurysm - diagnostic imaging
Coronary Aneurysm - etiology
Coronary Aneurysm - surgery
coronary aneurysms
Diagnosis, Differential
echocardiography
Echocardiography - methods
Follow-Up Studies
Heart-Assist Devices
Humans
Kawasaki disease
Male
Mucocutaneous Lymph Node Syndrome - complications
Mucocutaneous Lymph Node Syndrome - diagnosis
Mucocutaneous Lymph Node Syndrome - diagnostic imaging
Mucocutaneous Lymph Node Syndrome - surgery
Prognosis
Treatment Outcome
Watchful Waiting - methods
coronary aneurysms
Kawasaki disease
echocardiography
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Summary:Kawasaki disease is an acquired vasculitis that can affect the coronary arteries placing the patient at risk for coronary artery thrombosis, myocardial ischemia and infarction. The risk of complications related to coronary artery involvement persists for years despite recovery from the acute illness phase. The risk of late coronary disease progression necessitates long term follow‐up generally accomplished by non‐invasive echocardiography in pediatric patients. We review the utility of echocardiography in patients with Kawasaki disease as it relates to initial management, risk stratification and follow‐up of these children.
Bibliography:ArticleID:ECHO13271
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Movie clip S1 (Case A). Preoperative 2D midesophageal 4 chamber view with right rotation demonstrating the giant aneurysm of the right coronary artery. TV, tricuspid valve; RA, right atrium; LA, left atrium; RV, right ventricle; LV, left ventricle; MV, mitral valve; RCA, right coronary artery.Movie clip S2 (Case A). Preoperative 2D midesophageal aortic short axis view demonstrating flow through the left main coronary artery (white arrow) with giant proximal left anterior descending cornonary artery aneurysm. AV, aortic valve; RA, right atrium; RV, right ventricle; MV, mitral valve; LAD, left anterior descending.
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ISSN:0742-2822
1540-8175
DOI:10.1111/echo.13271