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Coronary occlusion in a child masquerading as dilated cardiomyopathy: the sequelae of missed Kawasaki disease

  • Jamie K. Harrington (a1), Warren A. Zuckerman (a1) and Anjali Chelliah (a1)

Abstract

If coronary artery sequelae are the only suggestive signs of previous Kawasaki disease, the diagnosis may easily be missed. We describe a rare case of a child with severe occlusive coronary disease likely owing to missed Kawasaki disease. This diagnosis was not initially considered given the age and absence of suggestive history. Careful echocardiographic assessment and low-radiation coronary CT angiogram resulted in successful diagnosis and treatment.

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Corresponding author

Author for correspondence: A. Chelliah, MD, Department of Pediatrics, Division of Pediatric Cardiology, College of Physicians & Surgeons, Columbia University, 3959 Broadway, CHN 2N, New York, NY 10032, USA. Tel: 212 342 1560; Fax: 212 342 5721; E-mail: ac2967@cumc.columbia.edu

References

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1. Gordon, JB, Kahn, AM, Burns, JC. When children with Kawasaki disease grow up: myocardial and vascular complications in adulthood. J Am Coll Cardiol 2009; 54: 19111920.
2. Burns, JC, Shike, H, Gordon, JB, et al. Sequelae of Kawasaki disease in adolescents and young adults. J Am Coll Cardiol 1996; 28: 253257.
3. Bhagwat, A, Mukhedkar, S, Ekbote, S, et al. Missed Kawasaki disease in childhood presenting as myocardial infarction in adults. Indian Heart J 2015; 67: 385388.
4. Tamaki, W, Tsuda, E, Nakajima, H, et al. Emergency coronary artery bypass grafting for cardiogenic shock due to left main coronary artery obstruction caused by Kawasaki disease in a 4-year-old boy. Pediatr Int 2014; 56: 273276.

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