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

Published online by Cambridge University Press:  05 March 2018

Jamie K. Harrington
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, College of Physicians & Surgeons, Columbia University Medical Center, New York, NY, USA
Warren A. Zuckerman
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, College of Physicians & Surgeons, Columbia University Medical Center, New York, NY, USA
Anjali Chelliah*
Affiliation:
Department of Pediatrics, Division of Pediatric Cardiology, College of Physicians & Surgeons, Columbia University Medical Center, New York, NY, USA
*
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

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.

Type
Brief Report
Copyright
© Cambridge University Press 2018 

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References

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.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle ScholarPubMed
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.CrossRefGoogle Scholar

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