Magnetic Resonance Angiography Detection of Vascular Aneurysms in Patients With Kawasaki Disease and Coronary Artery Aneurysms

Joseph R. Casadonte, Vanessa M. Perez, Gary Stapleton, Marguerite M. Crawford, Jeffrey P. Jacobs, David S. Cooper, Gul H. Dadlani

Research output: Contribution to journalArticlepeer-review

Abstract

Kawasaki disease is a systemic panvasculitis that causes coronary artery aneurysms in approximately 15% to 25% of untreated patients. Systemic vascular aneurysms may also occur in medium-sized arteries throughout the body and may lead to increased morbidity and mortality in patients with Kawasaki disease. We report a case of diffuse systemic aneurysm formation in a 2-year-old patient with Kawasaki disease with coronary artery aneurysms. Full-body magnetic resonance angiography (MRA) imaging was utilized both in the acute phase and again prior to cardiac catheterization performed at 6 months from the acute illness. The initial MRA detected aneurysmal dilatation of the common and internal iliac arteries bilaterally in the acute phase. Subsequent MRA performed prior to cardiac catheterization 6 months later demonstrated resolution of the iliac artery lesions. Full-body MRA may be useful in screening for associated systemic vascular aneurysms in patients with Kawasaki disease and associated coronary artery aneurysms.

Original languageEnglish (US)
Pages (from-to)393-396
Number of pages4
JournalWorld Journal for Pediatric and Congenital Heart Surgery
Volume1
Issue number3
DOIs
StatePublished - Oct 2010
Externally publishedYes

Keywords

  • Kawasaki disease
  • coronary artery aneurysm
  • iliac artery aneurysm
  • magnetic resonance angiography

ASJC Scopus subject areas

  • Surgery
  • Pediatrics, Perinatology, and Child Health
  • Cardiology and Cardiovascular Medicine

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