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A case of multiple giant coronary aneurysms with large mural thrombus due to Kawasaki disease in a young infant

Authors
 Eun Na Choi  ;  Jeoung Tae Kim  ;  Yuria Kim  ;  Byung Won Yoo  ;  Deok Young Choi  ;  Jae Young Choi  ;  Jun Hee Sul  ;  Sung Kyu Lee  ;  Dong Soo Kim  ;  Young Hwan Park 
Citation
 Korean Journal of Pediatrics, Vol.48(3) : 321-326, 2005 
Journal Title
 Korean Journal of Pediatrics 
ISSN
 1738-1061 
Issue Date
2005
MeSH
Mucocutaneous lymph node syndrome ; Coronary aneurysm ; Coronary thrombosis ; Infant ; Myocardial ischemia
Keywords
Mucocutaneous lymph node syndrome ; Coronary aneurysm ; Coronary thrombosis ; Infant ; Myocardial ischemia
Abstract
Kawasaki disease is an acute systemic vasculitis of unknown origin. Giant coronary aneurysm is one of the most serious complications, although peripheral artery vasculitis can produce life-threatening events. Myocardial ischemia and infarction can be caused by coronary artery stenosis, aneurysm, and stagnation of blood flow in coronary arteries which triggers thromboembolism. Atypical presentation in young infants often interferes with prompt diagnosis and timely treatment, resulting in poor outcomes. We describe a 3-month-old infant with multiple giant coronary aneurysms with flow stagnation, stenosis and large mural thrombus due to Kawasaki disease. He presented with a prolonged course of severe coronary involvement in spite of all measures to reduce coronary complications. Finally, surgical intervention was tried because of the worsening coronary artery abnormalities. The patient died of acute cardiorespiratory failure shortly after weaning from cardiopulmonary bypass.
Files in This Item:
T200500765.pdf Download
DOI
OAK-2005-04307
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Thoracic and Cardiovascular Surgery (흉부외과학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Pediatrics (소아청소년과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Dong Soo(김동수)
Kim, Yuria(김유리아)
Yoo, Byung Won(류병원) ORCID logo https://orcid.org/0000-0001-6895-1484
Park, Young Hwan(박영환)
Sul, Jun Hui(설준희)
Lee, Sung Kyu(이승규)
Choi, Deok Young(최덕영)
Choi, Eun Na(최은나)
Choi, Jae Young(최재영) ORCID logo https://orcid.org/0000-0002-1247-6669
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/150673
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