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Published on: July 21, 2013

Chronic Total Occlusion After Kawasaki Disease

Juliana Gomez-Arostegui1, Jane C Burns2, Jiken Bhatt3

  • 1Department of Pediatrics, University of California-San Diego, San Diego, California, USA; Pediatric Cardiology, Rady Children's Hospital, San Diego, California, USA.

JACC. Case Reports
|July 15, 2026
PubMed

Insights

Children with Kawasaki disease (KD) can develop giant coronary artery aneurysms (CAAs), leading to lifelong risks of chronic total occlusion (CTO). Early diagnosis and management are crucial for preventing severe cardiac complications in KD patients.

Area of Science:

  • Cardiology
  • Pediatric Cardiology
  • Vascular Biology

Background:

  • Kawasaki disease (KD) is a leading cause of acquired pediatric heart disease.
  • Coronary artery aneurysms (CAAs) are a significant complication of KD, occurring in up to 25% of untreated cases.
  • Large CAAs increase the risk of thrombosis, myocardial ischemia, and chronic total occlusion (CTO).
Abstract

Keywords:
acute coronary syndromecoronary artery bypasscoronary calcium scoreperfusion

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