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Woven right and aneurysmatic left coronary artery associated with Kawasaki disease in a 9-month-old patient

  • Ayşe Yıldırım (a1), Deniz Oğuz (a2) and Rana Olguntürk (a2)

Abstract

Woven coronary artery disease is an extremely rare congenital abnormality with unusual findings of branching thin channels and distal reanastomosis. This pathologic finding was reported earlier in a few adult patients. In Kawasaki disease, coronary arterial system is commonly affected, which causes a necessity of cardiac imaging. We report a 9-month-old infant with Kawasaki disease in which left coronary artery aneurysm and woven right coronary artery were coincidentally detected during coronary angiography. After 1 year, coronary angiogram was re-performed and showed no changes in the coronary arteries. During the follow-up period of 4 years, the patient remained asymptomatic. In Kawasaki disease, there is a tendency for thrombus formation and a woven coronary artery can be easily misinterpreted as a thrombus. Woven coronary artery is a benign condition and it should not be confused with a thrombus or a stenosis related finding which needs a medical or surgical intervention.

Copyright

Corresponding author

Correspondence to: Ayşe Yıldırım, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Denizer Caddesi Cevizli Kavşağı No: 2, 34846 Kartal/İstanbul, Turkey. Tel: 090 216 4594440; Fax: 090 2164596321; E-mail: ayildirimmd@yahoo.com

References

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4. Newburger, JW, Takahashi, M, Gerber, MA, Gewitz, MH, Tani, LY, Burns, JC. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis and Kawasaki disease, council on cardiovascular disease in the young, American Heart Association. Circulation 2004; 110: 27472771.
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Keywords

Woven right and aneurysmatic left coronary artery associated with Kawasaki disease in a 9-month-old patient

  • Ayşe Yıldırım (a1), Deniz Oğuz (a2) and Rana Olguntürk (a2)

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