Multivessel giant coronary artery aneurysms in an adult with an acute coronary syndrome: latent finding of Kawasaki disease

J Invasive Cardiol. 2014 Sep;26(9):E127-9.

Abstract

We present a case of a patient with an acute coronary syndrome who had the exceptionally rare finding of multivessel giant coronary artery aneurysms (>8 mm) involving the left main and ostial right coronary arteries with concomitant atherosclerotic disease. A work-up to diagnose medical conditions that would predispose the patient to giant coronary aneurysms was negative; however, a detailed history recalled a childhood hospitalization with a constellation of signs and symptoms consistent with Kawasaki disease. This demonstrates an unusual anatomy underlying a common cardiac presentation in adults that has implications for the management of the associated atherosclerotic coronary artery disease.

Publication types

  • Case Reports

MeSH terms

  • Acute Coronary Syndrome / diagnosis*
  • Acute Coronary Syndrome / diagnostic imaging
  • Acute Coronary Syndrome / etiology
  • Cardiac Catheterization
  • Coronary Aneurysm / diagnosis*
  • Coronary Aneurysm / diagnostic imaging
  • Coronary Aneurysm / etiology
  • Coronary Angiography
  • Coronary Vessels / diagnostic imaging*
  • Delayed Diagnosis*
  • Humans
  • Male
  • Middle Aged
  • Mucocutaneous Lymph Node Syndrome / complications
  • Mucocutaneous Lymph Node Syndrome / diagnosis*
  • Myocardial Infarction / therapy
  • Positron-Emission Tomography