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Updated: Jun 1, 2026

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Three-Dimensional Printing of a Complex Aortic Anomaly
Published on: November 1, 2018
Giant coronary aneurysms: three-dimensional reconstruction.
1Radboud University Nijmegen Medical Center, Nijmegen, the Netherlands, l.vanbeek2@chello.nl.
Summary
A 31-year-old man with chest pain was diagnosed with giant coronary artery aneurysms. This condition, likely stemming from childhood Kawasaki
Area of Science:
- Cardiology
- Pediatric Cardiology
- Radiology
Background:
- Chest pain is a common symptom requiring thorough cardiac evaluation.
- Giant coronary artery aneurysms are rare but serious cardiovascular conditions.
- Kawasaki disease is a childhood illness that can lead to coronary artery abnormalities.
Purpose of the Study:
- To report a case of giant coronary artery aneurysms presenting in adulthood.
- To investigate the potential link between subclinical childhood Kawasaki disease and adult coronary aneurysms.
- To highlight the utility of cardiac CT in diagnosing complex coronary artery pathologies.
Main Methods:
- A 31-year-old male patient presented with chest pain.
- Cardiac CT reconstruction was performed for diagnostic imaging.
- Imaging findings were analyzed to identify coronary artery abnormalities.
Main Results:
- Cardiac CT revealed multiple calcified giant coronary aneurysms.
- The patient's presentation suggests a history of subclinical Kawasaki disease during childhood.
- The findings underscore a potential long-term sequela of undiagnosed pediatric illness.
Conclusions:
- Giant coronary artery aneurysms can manifest in adulthood, potentially linked to childhood Kawasaki disease.
- Cardiac CT is crucial for diagnosing and characterizing these complex vascular abnormalities.
- This case emphasizes the importance of considering long-term cardiovascular risks associated with subclinical pediatric conditions.

