Intravascular Ultrasound Findings of Coronary Wall Morphology in a Child with Kawasaki Disease.
10.3346/jkms.2001.16.5.661
- Author:
Sejung SOHN
1
;
Hae Soon KIM
;
Seong Hee JEON
;
Seong Hoon PARK
Author Information
1. Department of Pediatrics, Ewha Womans University College of Medicine and Ewha University Mokdong Hospital, Seoul, Korea.
- Publication Type:Original Article
- Keywords:
Mucocutaneous Lymph Node Syndrome;
Ultrasonograhpy
- MeSH:
Case Report;
Child, Preschool;
Coronary Angiography;
Coronary Vessels/*ultrasonography;
Female;
Human;
Mucocutaneous Lymph Node Syndrome/*ultrasonography
- From:Journal of Korean Medical Science
2001;16(5):661-663
- CountryRepublic of Korea
- Language:English
-
Abstract:
Intravascular ultrasound (IVUS) imaging was performed to assess the coronary wall morphology in detail at 22 months after the onset of Kawasaki disease in a girl who had developed coronary aneurysms at 4 yr of age. The sites of persistent aneurysms demonstrated a dilated lumen with a marked symmetrical or asymmetrical thickening of the intima-media complex. This pathologic finding was also present in angiographically normal vessels near an aneurysm but with a mild thickening. Coronary artery calcification was observed at one site in the aneurysms. The sites of normal coronary artery far from an aneurysm showed normal intravascular ultrasound findings with no measurable intima-media complex. Our case indicates that the healing process may continue via cell proliferation, with extension to the proximity of the coronary aneurysms. IVUS is useful to evaluate the coronary wall morphology and may be valuable in the long-term follow-up of coronary lesions due to Kawasaki disease.
