Role of imaging studies in Kawasaki disease

• Published in: International journal of rheumatic diseases Vol. 21; no. 1; pp. 56 - 63
• Main Authors: Tsuda, Etsuko, Singhal, Manphool
• Format: Journal Article
• Language: English
• Published: England Wiley Subscription Services, Inc 01.01.2018
• Subjects: Aneurysm; Angiography; Computed tomography; Computed Tomography Angiography; computed tomography coronary angiography; Coronary Aneurysm - diagnostic imaging; Coronary Aneurysm - etiology; Coronary Aneurysm - physiopathology; Coronary Angiography - methods; coronary arterial aneurysm; Coronary artery; coronary artery calcification; Coronary vessels; Coronary Vessels - diagnostic imaging; Coronary Vessels - physiopathology; Echocardiography; Humans; intravascular ultrasound; Kawasaki disease; Magnetic Resonance Angiography; magnetic resonance coronary angiography; Medical imaging; Mucocutaneous lymph node syndrome; Mucocutaneous Lymph Node Syndrome - complications; Mucocutaneous Lymph Node Syndrome - diagnostic imaging; Mucocutaneous Lymph Node Syndrome - physiopathology; Predictive Value of Tests; Prognosis; Reproducibility of Results; Risk Factors; Time Factors; Vasculitis; Veins & arteries; coronary arterial aneurysm; intravascular ultrasound; magnetic resonance coronary angiography; Kawasaki disease; coronary artery calcification; computed tomography coronary angiography
• ISSN: 1756-1841; 1756-185X; 1756-185X
• DOI: 10.1111/1756-185X.13210

Kawasaki disease is a medium vessel vasculitis which may be associated with coronary artery abnormalities. Recognition of these abnormalities depends upon various imaging modalities. While two‐dimensional echocardiography remains the first line modality to identify coronary artery abnormalities, it is subject to several fallacies and is operator dependent. Computed tomography coronary angiography is rapidly emerging as a useful imaging modality for better characterization of dilatations, ectasia and aneurysms in the mid‐ and distal segments of coronary arteries. It provides precise details in terms of aneurysm size and morphology. In this review we here described the importance of computed tomography coronary angiography and have also given a brief description of magnetic resonance coronary angiography.