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Case Reports
. 2015 Jul-Aug;67(4):385-8.
doi: 10.1016/j.ihj.2015.04.014. Epub 2015 May 14.

Missed Kawasaki disease in childhood presenting as myocardial infarction in adults

Ajit Bhagwat  1 , Sachin Mukhedkar  2 , Shriganesh Ekbote  2 , John B Gordon  3
Affiliations
Case Reports

Missed Kawasaki disease in childhood presenting as myocardial infarction in adults

Ajit Bhagwat et al. Indian Heart J. 2015 Jul-Aug.

Abstract

Kawasaki disease (KD) is an acute, self-limited vasculitis that occurs in young children and was first described by Japanese pediatrician Tomisaku Kawasaki in 1967. Although originally thought to be a rare condition, KD has become the most common cause of acquired heart disease in the pediatric population in developed countries. The majority of patients with KD appear to have a benign prognosis, but a subset of patients with coronary artery aneurysms are at risk for ischemic events and require lifelong treatment. In the 4 decades since the initial recognition of KD, the number of patients reaching adulthood has continued to grow. Adult cardiologists will be increasingly involved in the management of these patients. Currently, there are no established guidelines for the evaluation and treatment of adult patients who have had KD. We report 4 most probable cases of KD missed in childhood and presented as acute coronary syndrome in adulthood.

Keywords: Coronary aneurysm; Kawasaki.

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Figures

Fig. 1
Fig. 1
Panel A shows aneurysmal proximal LAD (arrow), Panel B shows RCA thrombus surrounded by contrast in the aneurysm (arrow), Panel C shows severely ectatic proximal LAD with sudden transition to normal, Panel D shows diffuse ectasia of RCA.
Fig. 2
Fig. 2
Panels A and B show ectatic proximal segments of LAD with sudden transition to normal segment.
See this image and copyright information in PMC

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