Multiple symptomatic giant coronary aneurysms

Area of Science:

• Cardiology
• Pediatric Rheumatology
• Vascular Medicine

Background:

• Kawasaki disease (KD) is a leading cause of acquired heart disease in children.
• Coronary artery aneurysms (CAAs) are a known complication of KD, but giant CAAs are rare.
• CAA in elderly patients is exceptionally uncommon, particularly involving the left coronary system.

Observation:

• A rare case of multiple giant coronary artery aneurysms (GCAs) in an elderly patient is presented.
• The aneurysms predominantly affected the left coronary artery system, a less common distribution.
• The patient presented with ischemic symptoms attributed to the GCAs.

Findings:

• Symptomatic GCAs in an elderly patient secondary to Kawasaki disease.
• Surgical intervention via coronary artery bypass grafting (CABG) was performed.
• Successful symptom relief was achieved post-CABG.

Implications:

• Highlights the potential for late-onset complications of Kawasaki disease.
• Suggests CABG as a viable treatment option for symptomatic GCAs in elderly patients.
• Underscores the importance of long-term cardiovascular surveillance in KD survivors.