This Article Figures Only Full Text Full Text (PDF) Services Similar articles in this journal Similar articles in PubMed Alert me to new issues of the journal Download to citation manager Citing Articles Citing Articles via Google Scholar Google Scholar Articles by KHOSITSETH, A Articles by WANITKUN, S Search for Related Content PubMed PubMed Citation Articles by KHOSITSETH, A Articles by WANITKUN, S

Giant coronary aneurysm caused by Kawasaki disease: follow-up with echocardiography and multidetector CT angiography

Departments of ¹ Paediatrics and ² Radiology, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand

Correspondence: Anant Khositseth, MD, Department of Paediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok 10400, Thailand. E-mail: alaks{at}diamond.mahidol.ac.th

Giant coronary artery aneurysms caused by Kawasaki disease are not common; however, they are one of the most serious complications and can be fatal. Here, we describe a 5-year-old girl with Kawasaki disease who initially had normal coronary arteries. Despite intravenous immunoglobulin, she developed progressive giant coronary artery aneurysms. Echocardiography is a non-invasive tool for imaging the condition but it does have some limitations, whereas selective coronary angiography is the gold standard. However, multidetector CT may be a better non-invasive tool, alternate to invasive catheterized selective coronary angiography, in the long-term follow-up of patients with a giant coronary aneurysm.