Case report of giant coronary aneurysm with myocardial infarction in children / 中华实用儿科临床杂志

ABSTRACT

The clinical data of a child with giant coronary aneurysm complicated with myocardial infarction admitted to the Department of Cardiology, Beijing Children′s Hospital, Capital Medical University in February 2019 was retrospectively analyzed.The child, male, aged 2 years and 8 months, presented with symptoms related to cardiac insufficiency.Echocardiography showed giant coronary aneurysm with thrombosis, severe enlargement of the heart, reduction of cardiac function and ventricular aneurysm formation.After anticoagulation, antiplatelet, cardio tonic, diuretic and vasodilator therapy, the clinical symptoms of the patient were slightly relieved, but the ventricular aneurysm gradually expan-ded, and the prognosis was poor.Myocardial infarction is very rare in children, the main cause of which is coronary aneurysm caused by Kawasaki disease.Its early recognition and diagnosis are particularly important, and timely and correct treatment can significantly improve the prognosis.