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Updated: Feb 19, 2026

Retrograde Perfusion and Filling of Mouse Coronary Vasculature as Preparation for Micro Computed Tomography Imaging
10:16

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Published on: February 10, 2012

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Role of imaging studies in Kawasaki disease

Etsuko Tsuda1, Manphool Singhal2

  • 1Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan.

International Journal of Rheumatic Diseases
|November 9, 2017
PubMed

Insights

Computed tomography coronary angiography offers detailed insights into coronary artery abnormalities in Kawasaki disease, complementing echocardiography. This imaging technique aids in precise characterization of aneurysms and ectasia.

Area of Science:

  • Cardiovascular Imaging
  • Pediatric Rheumatology

Background:

  • Kawasaki disease is a vasculitis affecting medium vessels, potentially leading to coronary artery abnormalities.
  • Early detection of these abnormalities is crucial for managing cardiac complications.

Purpose of the Study:

  • To review the importance of computed tomography coronary angiography (CTCA) in evaluating coronary artery abnormalities in Kawasaki disease.
  • To compare CTCA with other imaging modalities.

Main Methods:

  • Review of current literature on imaging techniques for coronary artery abnormalities in Kawasaki disease.
  • Focus on the role and advantages of CTCA.
  • Brief mention of magnetic resonance coronary angiography (MRCA).

Main Results:

  • Two-dimensional echocardiography is the first-line imaging, but has limitations and is operator-dependent.
  • CTCA provides superior characterization of dilatations, ectasia, and aneurysms, especially in mid- and distal coronary segments.
  • CTCA offers precise details on aneurysm size and morphology.

Conclusions:

  • CTCA is an emerging and valuable tool for detailed assessment of coronary artery abnormalities in Kawasaki disease.
  • CTCA enhances the diagnostic accuracy beyond traditional echocardiography.

Keywords:
Kawasaki diseasecomputed tomography coronary angiographycoronary arterial aneurysmcoronary artery calcificationintravascular ultrasoundmagnetic resonance coronary angiography

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