A Case of Right Coronary Arterial Occlusion with Normal Electrocardiogram in Atypical Kawasaki Diseases.
- Author:
Yoon Kyung LEE
1
;
Jong Wan KIM
;
Kyung Tai WHANG
Author Information
1. Department of Pediatrics, Catholic University Medical College, Seoul, Korea.
- Publication Type:Case Report
- Keywords:
Atypical Kawasaki disease;
Coronary artery;
Aneurysm;
Occlusion;
Electrocardiogram
- MeSH:
Aneurysm;
Arteritis;
Coronary Angiography;
Coronary Occlusion;
Coronary Vessels;
Death, Sudden;
Electrocardiography*;
Humans;
Infant;
Ischemia;
Mucocutaneous Lymph Node Syndrome;
Myocardial Ischemia;
Numismatics
- From:Journal of the Korean Pediatric Society
1996;39(3):411-416
- CountryRepublic of Korea
- Language:Korean
-
Abstract:
Kawasaki disease is an acute febrile illness of unknown etiology that occurs predominantly in infants and early childhood. It had aroused intense interest because of the sequelae of coronary arteritis accompanied by coronary artery aneurysms and thrombotic occlusion, which may lead to ischemic heart disease or sudden death. Atypical Kawasaki disease is coined to describe patients who have coronary abnormalities, pathognomic findings of Kawasaki disease, but who do not exhibit at least four criteria of the disease. Giant coronary arterial aneurysm is a very rare complication after atypical Kawasaki disease, and in cases of coronary occlusion, the surface electrocardiograms usually show common ischemic changes. We report a case of right coronary arterial occlusion complicated after atypical Kawasaki disease. During 12 months, the serial electrocardiograms showed no evidence of ischemia, but coronary angiography disclosed giant aneurysms accompanied with occlusion and several collaterals in right side.
