| Two young adults who had acute coronary syndrome after regression of coronary aneurysms caused by Kawasaki disease in infancy. | |
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MedLine Citation:
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PMID: 16565902 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We report two young adult patients who had acute coronary syndrome after regression of coronary aneurysms caused by Kawasaki disease (KD). A 26 year-old man had acute anterior myocardial infarction at midnight after drinking alcohol. He had had bilateral coronary aneurysms caused by KD at the age of 8 months. Selective coronary angiograms (CAGs) at the age of 7 years revealed regression of both coronary aneurysms. He had no symptoms until the onset of acute myocardial infarction. The other patient was a 24 year-old man diagnosed as having a subendocardial infarction. He had had bilateral coronary aneurysms caused by KD at the age of 1 year. CAGs at the age of 9 years showed that both had regressed. It should be recognized that young adults with apparently normal coronary arteries angiographically after regression of large coronary aneurysms caused by KD may occasionally have acute coronary syndromes. We suspect intimal involvement of the coronary arterial wall after regression of the large aneurysms underlies the acute coronary syndrome in adults. Risk factors for atherosclerosis must be avoided in this population. |
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Authors:
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E Tsuda; A Hanatani; K Kurosaki; H Naito; S Echigo |
Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Pediatric cardiology Volume: 27 ISSN: 0172-0643 ISO Abbreviation: Pediatr Cardiol Publication Date: 2006 May-Jun |
Date Detail:
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Created Date: 2006-05-29 Completed Date: 2006-10-31 Revised Date: 2008-02-20 |
Medline Journal Info:
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Nlm Unique ID: 8003849 Medline TA: Pediatr Cardiol Country: United States |
Other Details:
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Languages: eng Pagination: 372-5 Citation Subset: IM |
Affiliation:
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Department of Pediatrics, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, Osaka, 565-8565, Japan. etsuda@hsp.ncvc.go.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Angina, Unstable / etiology* Coronary Angiography Coronary Vessels / pathology Dilatation, Pathologic Heart Aneurysm / complications, etiology*, radiography Humans Male Mucocutaneous Lymph Node Syndrome / complications* Myocardial Infarction / etiology* Syndrome Time Factors |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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