Coronary artery aneurysms caused by Kawasaki disease in an adult:A case report and literature review

作     者：Ying He Hao Ji Jian-Chang Xie Liang Zhou 

作者机构：The Fourth School of Clinical MedicineZhejiang Chinese Medical UniversityHangzhou 310053Zhejiang ProvinceChina Department of CardiologyHangzhou First People's Hospital Affiliated to Zhejiang University School of MedicineHangzhou 310006Zhejiang ProvinceChina 

出 版 物：《World Journal of Clinical Cases》 (世界临床病例杂志)

年 卷 期：2022年第10卷第28期

页      面：10266-10272页

核心收录：

学科分类：1002[医学-临床医学] 100202[医学-儿科学] 10[医学] 

基　　金：Supported by Scientific Research Fund of Zhejiang Provincial Education Department No.Y202145971 

主　　题：Kawasaki disease Coronary artery aneurysms Coronary vasculitis Coronary angiography Case report 

摘      要：BACKGROUND Kawasaki disease(KD) is a self-limiting febrile illness and an acute vasculitis with an unknown *** predominantly affects children aged 5 *** is the common cause of acquired heart disease in *** here report a case of KD in an asymptomatic young female patient diagnosed with multiple coronary aneurysms with *** SUMMARY A 29-year-old female patient admitted to Hangzhou First People’s Hospital with coronary artery abnormality identified for 1 *** patient was asymptomatic;however,chest computed tomography occasionally revealed strip-like dense shadows in the coronal *** coronary angiography and Doppler echocardiography,the final diagnosis was coronary artery aneurysms(CAAs) caused by *** the patient was asymptomatic with no history of KD in childhood,the definitive diagnosis was CAAs caused by *** patient was administered anticoagulant,and surgical treatment was *** KD potentially causes CAAs in 25% of untreated cases,primarily occurring in the proximal portions of the coronary arteries.