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Coronary artery noninvasive imaging in adult Kawasaki disease

Luce Cantin1, Carl Chartrand-Lefebvre, François Marcotte

  • 1Department of Radiology, University of Montreal Medical Center, Québec, Canada.

Clinical Imaging
|May 5, 2009
PubMed

Insights

Kawasaki disease (KD) can cause serious coronary artery problems that may go undiagnosed until adulthood. Radiologists increasingly encounter KD in adults, necessitating awareness of its clinical features and imaging.

Area of Science:

  • Cardiology
  • Pediatric Rheumatology
  • Radiology

Background:

  • Kawasaki disease (KD) is a childhood illness with potential long-term coronary artery complications.
  • Coronary artery aneurysms, stenoses, and thromboses are significant sequelae of KD.
  • These complications often remain undetected until adulthood.

Purpose of the Study:

  • To review the clinical manifestations of Kawasaki disease relevant to radiologists.
  • To compare noninvasive imaging modalities for diagnosing coronary artery issues in KD patients.
  • To enhance the recognition of KD in adult populations.

Main Methods:

  • Review of clinical aspects of Kawasaki disease.
  • Comparison of computed tomography (CT) and magnetic resonance (MR) imaging for coronary artery assessment.
  • Analysis of diagnostic capabilities for KD complications.

Main Results:

  • Coronary artery complications of KD are frequently diagnosed in adults.
  • Advanced imaging techniques like CT and MR are crucial for identifying KD sequelae.
  • Radiologists require updated knowledge to diagnose adult KD.

Conclusions:

  • Radiologists will increasingly diagnose Kawasaki disease in adults.
  • Noninvasive imaging plays a vital role in detecting KD coronary artery complications.
  • Understanding KD clinical features and imaging is essential for adult patient care.

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