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Direct Re-implantation of Left Coronary Artery into the Aorta in Adults with Anomalous Origin of Left Coronary Artery from the Pulmonary Artery (ALCAPA)
13:10

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Probable Kawasaki disease in a 52-year-old man presenting with acute myocardial infarction treated with percutaneous

D A Rivera1, N Aggarwal, J E Parrillo

  • 1Section of Cardiology, Rush Heart Institute, Rush-Presbyterian-St. Luke's Medical Center, Chicago, IL 60612, USA.

Heart Disease (Hagerstown, Md.)
|April 27, 2002
PubMed

Insights

A man with myocardial infarction was found to have large coronary aneurysms. These aneurysms, containing thrombus, suggest a potential link to Kawasaki disease in adults.

Area of Science:

  • Cardiology
  • Immunology

Background:

  • Acute myocardial infarction (MI) is a critical cardiovascular event.
  • Percutaneous transluminal coronary angioplasty (PTCA) is a common intervention for coronary artery disease.

Observation:

  • A 52-year-old male presented with acute MI.
  • Angiography revealed large, diffuse coronary aneurysms during evaluation for PTCA.

Findings:

  • Multiple coronary aneurysms contained thrombus.
  • The characteristics of the aneurysms suggest Kawasaki disease.

Implications:

  • This case highlights the importance of considering Kawasaki disease in adults presenting with coronary aneurysms and MI.
  • Early diagnosis and appropriate management are crucial to prevent cardiovascular complications.

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