Publish in this journal
Journal Information
Vol. 61. Issue 1.
Pages 83 (January 2008)
Share
Share
Download PDF
More article options
Vol. 61. Issue 1.
Pages 83 (January 2008)
DOI: 10.1016/S1885-5857(08)60072-9
Full text access
Giant Coronary Aneurysm in Kawasaki Disease
Aneurisma coronario gigante en la enfermedad de Kawasaki
Visits
6128
Verónica Hernándeza, Jesús Saavedraa
a Hospital Universitario de Getafe, Getafe, Madrid, Spain
This item has received
6128
Visits
(Daily data update)
Article information
Full Text
Download PDF
Statistics
Figures (2)
Full Text

A 22-year-old man, occasional user of cocaine and smoker of 22 cigarettes/day, was referred to our center for chest pain. The physical examination and laboratory workup were normal. Electrocardiography showed right bundle branch block with Q-waves in V1, V2, and V3. The chest x-ray (Figure 1) revealed a round calcified image superimposed on the cardiac silhouette. On echocardiography, the left ventricle was found to be thinned and dilated, with general hypokinesia that was more evident in the septum and anterior aspect, and severe systolic dysfunction (ejection fraction, 30%). Coronary angiography showed complete occlusion of the left anterior descending artery distal to a giant calcified aneurysm (Figure 2) and complete occlusion of the right coronary artery. Dobutamine echocardiography demonstrated viable myocardium. The patient underwent a double aortocoronary bypass (left anterior descending artery to left mammary artery and posterior descending artery to right mammary). One year after surgery the patient's ejection fraction had improved (40%) and he had no symptoms of angina.

Figure 1.

Figure 2.

Although coronary aneurysms have been described in relation to cocaine use and in arteriosclerotic disease, the presence of a giant calcified aneurysm in this patient led to the presumptive diagnosis of prior Kawasaki disease.

Idiomas
Revista Española de Cardiología (English Edition)

Subscribe to our newsletter

Article options
Tools
es en

¿Es usted profesional sanitario apto para prescribir o dispensar medicamentos?

Are you a health professional able to prescribe or dispense drugs?

es en
Política de cookies Cookies policy
Utilizamos cookies propias y de terceros para mejorar nuestros servicios y mostrarle publicidad relacionada con sus preferencias mediante el análisis de sus hábitos de navegación. Si continua navegando, consideramos que acepta su uso. Puede cambiar la configuración u obtener más información aquí. To improve our services and products, we use "cookies" (own or third parties authorized) to show advertising related to client preferences through the analyses of navigation customer behavior. Continuing navigation will be considered as acceptance of this use. You can change the settings or obtain more information by clicking here.