Assessment of coronary artery abnormalities in a patient with Kawasaki disease by multislice computed tomography

Abstract

The high spatial resolution of multislice computed tomography (MSCT) permits direct visualization of the coronary artery system. In this report, we describe coronary artery abnormalities in a young adult with Kawasaki disease. MSCT detected a giant coronary artery aneurysm, coronary artery stenosis in the first diagonal artery, and a multi-layered structure in the right coronary artery and the left circumflex artery. These findings corresponded well to those obtained by coronary angiography. MSCT has the potential to be the standard diagnostic tool for the follow-up evaluation of coronary artery disease in adolescents and young adults with Kawasaki disease.

Kawasaki disease

“…In the future, MSCT could become the standard diagnostic tool replacing angiography in all patients with CAAs [45].…”

Multiple coronary artery aneurysms that cause thrombosis: 22-month follow-up results with multi-slice spiral computerized tomography without surgery

“…For following these patients non-invasive echocardiography and nuclear magnetic resonance are recommended as well. However, currently multi-slice spiral CT is being used safely for following these patients [5]. We performed routine laboratory examinations, echocardiography and a treadmill test during the 6-month follow-up of this patient.…”

Isolated Subvalvular Pulmonary Stenosis: Depiction at Whole Heart Magnetic Resonance Imaging

“…Recently, free-breathing, whole heart MRI has enabled three-dimensional visualization of not only the cardiac chambers and great vessels but also the coronary artery system with excellent spatial resolution [5,9,10]. Unlike multidetector-row computed tomography which also permits threedimensional depiction of the cardiac chambers and coronary arteries [11][12][13]. MRI is a totally non-invasive method requiring no radiation exposure and it is free from contrast medium-related complications.…”