Document Detail

Clinical manifestations of coronary aneurysms in the adult as possible sequelae of Kawasaki disease during infancy.
MedLine Citation:
PMID:  15030128     Owner:  NLM     Status:  MEDLINE    
Coronary artery aneurysms are rare findings usually diagnosed incidentally at necropsy or at angiography in patients with symptoms of myocardial ischaemia. Even if atherosclerosis is a common cause of coronary aneurysms in the adult, other acquired diseases with inflammatory pathogenesis are associated with coronary artery aneurysms. We present three cases of patients with low probability of coronary artery atherosclerotic disease, due to their age, risk factors profile and history, complaining of chest pain suggestive of myocardial ischaemia and angiographic documentation of one or more coronary aneurysms. In all cases, although no patient had had a previous diagnosis of Kawasaki disease (KD), an unexplained febrile syndrome had occurred in childhood, which is compatible with misdiagnosed episode of KD causing the aneurysmatic lesions. The present reports highlight the potential clinical relevance of previously misdiagnosed KD in patients with ischaemic chest pain, low probability of atherosclerosis and coronary aneurysms.
Quintino Parisi; Antonio Abbate; Giuseppe G L Biondi-Zoccai; Doriana Spina; Marinica Savino; Francesco Burzotta
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  Acta cardiologica     Volume:  59     ISSN:  0001-5385     ISO Abbreviation:  Acta Cardiol     Publication Date:  2004 Feb 
Date Detail:
Created Date:  2004-03-19     Completed Date:  2004-06-16     Revised Date:  2009-06-11    
Medline Journal Info:
Nlm Unique ID:  0370570     Medline TA:  Acta Cardiol     Country:  Belgium    
Other Details:
Languages:  eng     Pagination:  5-9     Citation Subset:  IM    
Institute of Cardiology, Catholic University of Rome, Rome, Italy.
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MeSH Terms
Coronary Aneurysm / etiology*
Coronary Angiography
Coronary Vessels / pathology
Middle Aged
Mucocutaneous Lymph Node Syndrome / complications*

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