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Intravascular ultrasound findings of coronary wall morphology in a child with Kawasaki disease.

By S. Sohn, H. S. Kim, S. H. Jeon and S. H. Park

Abstract

Intravascular ultrasound (IVUS) imaging was performed to assess the coronary wall morphology in detail at 22 months after the onset of Kawasaki disease in a girl who had developed coronary aneurysms at 4 yr of age. The sites of persistent aneurysms demonstrated a dilated lumen with a marked symmetrical or asymmetrical thickening of the intima-media complex. This pathologic finding was also present in angiographically normal vessels near an aneurysm but with a mild thickening. Coronary artery calcification was observed at one site in the aneurysms. The sites of normal coronary artery far from an aneurysm showed normal intravascular ultrasound findings with no measurable intima-media complex. Our case indicates that the healing process may continue via cell proliferation, with extension to the proximity of the coronary aneurysms. IVUS is useful to evaluate the coronary wall morphology and may be valuable in the long-term follow-up of coronary lesions due to Kawasaki disease

Topics: Research Article
Publisher: Korean Academy of Medical Sciences
OAI identifier: oai:pubmedcentral.nih.gov:3057594
Provided by: PubMed Central

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Citations

  1. (1986). Coronary arterial lesions of Kawasaki disease: cardiac catheterization findings of 1,100 cases. Pediatr Cardiol
  2. (1982). Fate of coronary aneurysms in Kawasaki disease: serial coronary angiography and long-term follow-up study.
  3. (1996). Functional behavior and morphology of the coronary artery wall in patients with Kawasaki disease assessed by intravascular ultrasound.
  4. (1997). Intravascular ultrasonography of an adolescent boy with a coronary artery aneurysm due to Kawasaki disease. Pediatr Cardiol
  5. (1994). Intravascular ultrasound of coronary arteries in children. Assessment of the wall morphology and the lumen after Kawasaki disease. Circulation
  6. (2000). Long term consequences of regressed coronary aneurysms after Kawasaki disease: vascular wall morphology and function. Heart
  7. (1986). Myocardial infarction in Kawasaki disease: clinical analyses in 195 cases.
  8. (1982). Regression of aneurysms in Kawasaki disease: a pathologic study.