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Review
. 2021 Oct;51(10):837-850.
doi: 10.4070/kcj.2021.0098. Epub 2021 Jul 22.

Late Coronary Aneurysm Formation after Kawasaki Disease: a Review of Mechanistic and Clinical Aspects

Affiliations
Review

Late Coronary Aneurysm Formation after Kawasaki Disease: a Review of Mechanistic and Clinical Aspects

Kenan Yalta et al. Korean Circ J. 2021 Oct.

Abstract

In patients with Kawasaki disease (KD), evolution of coronary artery aneurysms (CAAs) generally emerges within the first few weeks after disease onset. However, CAA formation in these patients might occasionally arise as a late-onset phenomenon after a long latent period. Characteristically, late CAAs manifest as new-onset vascular pathologies or expansion of long-stable CAAs on coronary imaging modalities, and might have diverse mechanistic and clinical implications. Accordingly, the present paper aims to focus on late CAA formation and its implications in the setting of KD.

Keywords: Aneurysm; Coronary artery; Kawasaki disease.

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Conflict of interest statement

The authors have no financial conflicts of interest.

Figures

Figure 1
Figure 1. Potential mechanisms of late CAA formation in the setting of KD.
CAA = coronary artery aneurysm; KD = Kawasaki disease. *Generally presenting with mild and transient dilatation of coronary arteries.

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