Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Case Reports
. 2022 Sep 24;9(10):1463.
doi: 10.3390/children9101463.

Beaded Coronary Aneurysm in Kawasaki Disease

I-Hsin Tai  1   2 , Kai-Sheng Hsieh  1   2 , Ho-Chang Kuo  3   4   5
Affiliations
Case Reports

Beaded Coronary Aneurysm in Kawasaki Disease

I-Hsin Tai et al. Children (Basel). .

Abstract

Kawasaki disease (KD) is a febrile systemic vasculitis that mainly affects children aged under five years old. The aneurysm formation of the coronary artery is the most common complication after KD. We report a case with multiple coronary aneurysm formation and a special pattern ofbeaded aneurysm after KD and review the form ofcoronary aneurysms in different diseases.

Keywords: CAA; IVIG; Kawasaki disease; beaded coronary aneurysm; vasculitis.

PubMed Disclaimer

Conflict of interest statement

The authors declare no conflict of interest.

Figures

Figure 1
Figure 1
Transthoracic echocardiology on the 16th months after illness of aneurysm. Three RCA aneurysms in a beaded arrangement from the subcostal view of echocardiography (a) and transthoracic echocardiogram imaging showed first with second RCA aneurysm (b) as well as first with third RCA aneurysm (c).
Figure 1
Figure 1
Transthoracic echocardiology on the 16th months after illness of aneurysm. Three RCA aneurysms in a beaded arrangement from the subcostal view of echocardiography (a) and transthoracic echocardiogram imaging showed first with second RCA aneurysm (b) as well as first with third RCA aneurysm (c).
Figure 2
Figure 2
Selective right coronary aneurysm was showed in this figure. Right coronary angiogram showed a beaded pattern of a saccular/fusiform aneurysm.
Figure 3
Figure 3
Aneurysm diameter through all clinical course was showed in this figure.The timeline from initial aneurysm detection to long-term follow-up (6 years 11 months). The dashed line indicates a giant aneurysm border (8 mm). Two aneurysms near or exceeding 8 mm in size (red andblue line) and one medium-sized aneurysm (black line). All three aneurysms showed no significant regression whether from echocardiography or invasive angiography sizing.
See this image and copyright information in PMC

References

    1. Kuo H.-C. Preventing coronary artery lesions in Kawasaki disease. Biomed. J. 2017;40:141–146. doi: 10.1016/j.bj.2017.04.002. - DOI - PMC - PubMed
    1. Newburger J.W., Takahashi M., Burns J.C. Kawasaki Disease. J. Am. Coll. Cardiol. 2016;67:1738–1749. doi: 10.1016/j.jacc.2015.12.073. - DOI - PubMed
    1. Scherler L., Haas N.A., Tengler A., Pattathu J., Mandilaras G., Jakob A. Acute phase of Kawasaki disease: A review of national guideline recommendations. Eur. J. Pediatr. 2022;181:2563–2573. doi: 10.1007/s00431-022-04458-z. - DOI - PMC - PubMed
    1. Sheikh A.S., Hailan A., Kinnaird T., Choudhury A., Smith D. Coronary Artery Aneurysm: Evaluation, Prognosis, and Proposed Treatment Strategies. Heart Views Off. J. Gulf Heart Assoc. 2019;20:101–108. doi: 10.4103/HEARTVIEWS.HEARTVIEWS_1_19. - DOI - PMC - PubMed
    1. Michelis K.C., Olin J.W., Kadian-Dodov D., d’Escamard V., Kovacic J.C. Coronary artery manifestations of fibromuscular dysplasia. J. Am. Coll. Cardiol. 2014;64:1033–1046. doi: 10.1016/j.jacc.2014.07.014. - DOI - PMC - PubMed

Publication types

LinkOut - more resources