Popliteal aneurysm presenting as acute thrombosis and ischemia in a middle-aged man with a history of Kawasaki disease

Abstract

Kawasaki disease is known to cause a vasculitis of small and medium-sized vessels, with subsequent aneurysm formation. Most of the severe manifestations of the disease occur as a result of coronary aneurysm formation. However, many other arteries have been documented to be involved. A case is presented of a middle-aged man with a history of Kawasaki disease who had an acute ischemic limb from a thrombosed popliteal aneurysm that formed as a result of the disease. This is the first known case report of Kawasaki disease resulting in delayed lower extremity ischemia. Typical findings of patients with Kawasaki disease are presented, along with a case report and review of the literature. A history of Kawasaki disease is an extremely rare but possible cause of peripheral aneurysms, even in middle-aged patients.

OPCAB (Off Pump Coronary Artery Bypass) for Kawasaki Disease

“…Kawasaki disease, or mucocutaneous lymph node syndrome, occurs predominantly in children and rarely in adults [1]. Signs include acute vasculitis, mucosal inflammation, rash, cervical adenopathy, hand and foot swelling [2] and in the most severe cases, aneurysms develop in one or more coronary arteries [3]. factors, and the progress of these patients should be followed into adulthood [4].…”

Giant aortic arch aneurysm complicating Kawasaki′s disease

“…[ 8 ] On the other hand, severe complications as aneurysm thrombosis with distal ischemia or fatal femoral and hepatic aneurysms rupture were reported. [ 4 9 ] In our case, given aneurismal size and the presence of life-threatening mechanical compression, we opted for surgical treatment.…”

Thoracoabdominal and coronary arterial aneurysms in a young man with a history of Kawasaki disease

“…14,15 Progressive and severe leg ischemia occurred in a middle-aged man with a history of KD due to a thrombosed popliteal aneurysm. 16 Aortic aneurysms are rarely reported, although aortitis has occasionally been found in KD patients at autopsy. 17 Most of the KD-related aortic aneurysms were found in children.…”