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Calcified aneurysms in coronary arteries of a 48-year-old patient
M K Momolli1, J L Castro e Silva Pretto, D Sato
1Faculdade de Medicina, Universidade de Passo Fundo, Passo fundo, RS, 99010-080, Brasil.
Insights
Kawasaki disease in childhood can lead to severe coronary artery aneurysms and obstruction in adulthood. This case highlights the need for long-term cardiovascular monitoring after pediatric Kawasaki disease.
Area of Science:
- Cardiology
- Pediatric Cardiology
- Vascular Medicine
Background:
- Kawasaki disease (KD) is a leading cause of acquired heart disease in children.
- Long-term sequelae of KD, particularly coronary artery aneurysms, can manifest in adulthood.
- Unstable angina pectoris is a critical manifestation of ischemic heart disease.
Observation:
- A 48-year-old female with a history of childhood Kawasaki disease presented with unstable angina pectoris.
- Coronary angiography revealed two significant coronary artery aneurysms.
- One aneurysm caused complete occlusion of the right coronary artery, and the other severely obstructed the left anterior descending artery.
Findings:
- The patient's presentation of unstable angina was directly linked to coronary artery aneurysms secondary to childhood Kawasaki disease.
- Severe coronary artery obstruction necessitates urgent intervention.
- Coronary artery bypass surgery was deemed the appropriate treatment strategy.
Implications:
- This case underscores the importance of lifelong cardiovascular surveillance for individuals with a history of Kawasaki disease.
- Early detection and management of coronary artery complications are crucial to prevent adverse cardiac events.
- Understanding the long-term impact of Kawasaki disease is vital for pediatric and adult cardiology practice.
Abstract:
This is a case report of a 48-year-old female patient with a compatible history of Kawasaki disease during childhood, who was admitted to the emergency coronary unit with unstable angina pectoris. Coronary angiography identified two coronary aneurysms, one causing right coronary occlusion and the other causing severe obstruction of the left anterior descending coronary artery. Coronary artery bypass surgery was indicated.