KORONARANEURYSMEN NACH KAWASAKI-SYNDROM

Translated title of the contribution: Coronary aneurysms following Kawasaki syndrome

W. Engelhardt, E. Muhler, J. Keutel, G. Kluitmann, R. Oberhoffer, R. Hofstetter, V. G. Bernuth

Research output: Contribution to journalArticlepeer-review

1 Scopus citations

Abstract

In 10 boys with coronary aneurysms following Kawasaki syndrome echocardiography was performed and compared to angiography with respect to its reliability in detecting coronary aneurysms. All patients had central aneurysms of the left coronary artery which were visualized by echocardiography. In contrast, only two of six central aneurysms of the right coronary artery were detected echocardiographically. None of four leftsided and five rightsided peripheral coronary aneurysms were seen by echocardiography. There was no correlation between severity of coronary lesions and the score of Asai and Kusakawa estimating the risk of aneurysms on clinical grounds. Regression of coronary aneurysms was observed in seven, persistence in two, and progression in one patient, respectively, within 7-27 months. All children are doing well without clinical evidence of myocardial ischemia. We conclude from our experience that involvement of coronary arteries is unlikely if the central parts of the left coronary artery, which can be well visualized by echocardiography, are inconspicuous. In case echocardiography suggests a coronary aneurysm we recommend angiographic investigation in order to visualize the peripheral coronary arteries.

Translated title of the contributionCoronary aneurysms following Kawasaki syndrome
Original languageGerman
Pages (from-to)336-340
Number of pages5
JournalZeitschrift fur Kardiologie
Volume79
Issue number5
StatePublished - 1990
Externally publishedYes

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