The contribution of MR coronary angiography to the diagnosis of a left anterior descending artery aneurysm in a patient with Kawasaki disease.
Turk Kardiyol Dern Ars
; 37(3): 193-6, 2009 Apr.
Article
em En
| MEDLINE
| ID: mdl-19553745
ABSTRACT
We present a 4-year-old boy with a diagnosis of Kawasaki disease of six-month history. At the time of diagnosis, no significant coronary artery aneurysm was detected by transthoracic echocardiography. On his routine follow-up echocardiography, dilatation of the left anterior descending (LAD) artery was suspected, but an exact diagnosis could not be made. He underwent magnetic resonance (MR) coronary angiography which showed a large fusiform aneurysmatic dilatation in the proximal segment of the LAD with a diameter of 9 mm. Coronary angiography performed to plan surgical repair confirmed the findings of MR angiography. The patient's parents refused surgical repair, so antiplatelet therapy was started to prevent thrombosis. No complications occurred during seven months of follow-up after detection of the aneurysm.
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Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Aneurisma Coronário
/
Imageamento por Ressonância Magnética
/
Síndrome de Linfonodos Mucocutâneos
Tipo de estudo:
Diagnostic_studies
Limite:
Child, preschool
/
Humans
/
Male
Idioma:
En
Revista:
Turk Kardiyol Dern Ars
Assunto da revista:
CARDIOLOGIA
Ano de publicação:
2009
Tipo de documento:
Article
País de afiliação:
Turquia