Giant coronary aneurysms in a young adult patient with Kawasaki disease

Area of Science:

• Cardiology
• Pediatric Rheumatology
• Vascular Biology

Background:

• Kawasaki disease is a primary cause of pediatric acquired heart disease globally.
• Coronary artery aneurysms are the main cause of morbidity and mortality.
• Long-term sequelae in adults remain largely unknown.

Observation:

• A young, asymptomatic Puerto Rican male presented with multiple giant coronary aneurysms.
• The patient had a history of Kawasaki disease, previously undiagnosed.
• Diagnosis was made in an adult cardiology clinic.

Findings:

• The case illustrates the potential for clinically silent coronary artery aneurysms in adults.
• Giant coronary aneurysms can develop years after childhood Kawasaki disease.
• This presentation underscores the importance of recognizing delayed complications.

Implications:

• Highlights the importance of long-term cardiovascular surveillance in adults with a history of Kawasaki disease.
• Suggests that Kawasaki disease may have a more significant long-term impact on adult cardiovascular health than previously recognized.
• Emphasizes the need for increased awareness among adult cardiologists regarding potential sequelae of childhood vasculitis.