Super Giant Coronary Aneurysm in an Algerian Boy with Kawasaki Disease
Journal Title: International Journal of Pediatric Research - Year 2016, Vol 2, Issue 2
Abstract
The patient is a 5-year-old male with findings suggestive of Kawasaki disease. He was treated with intravenous gamma globulin (IVG) and oral aspirin. Because the fever persisted, he received additional IVG and intravenous methylprednisolone. Echocardiography showed diffuse dilatation of the right coronary artery (RCA; 13 mm) and proximal dilatation of the left main coronary artery (LMCA; 8 mm). Despite treatment, the size of coronary had enlarged significantly (from 13 mm to 22 mm and from 8 mm to 25 mm, respectively). Angiography study performed and showed a bilateral supergiant aneurysm and an occlusion in the left anterior descending artery. Beta blocker was administered in conjunction with warfarin/aspirin anti-coagulation therapy. Twelve months after the first episode of the illness, the patient relapsed. Echocardiography showed changes in the size of the CAA (LMCA 29 mm; RCA 25 mm).
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- EP ID EP352433
- DOI 10.23937/2469-5769/1510021
- Views 107
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