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Rare case of Kawasaki disease with cardiac tamponade and giant coronary artery aneurysms

Published online by Cambridge University Press:  11 February 2021

Andrea Vergara*
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy Department of Cardiology, Division of Clinical Cardiology, A.O.R.N. “Sant’Anna e San Sebastiano”, Caserta, Italy
Emanuele Monda
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy
Cinzia Mautone
Affiliation:
Division of Pediatrics, Department of Medicine, Surgery and Dentistry, University of Salerno, Salerno, Italy
Francesca Renon
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy
Antonio Di Masi
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy
Mario Giordano
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy Department of Cardiology, Division of Pediatric Cardiology, A.O.R.N. dei Colli, Monaldi Hospital, Naples, Italy
Giuseppe Limongelli
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy European Reference Network for Rare and Low Prevalence Complex Diseases of the Heart Department of Cardiovascular Sciences, University College of London and St. Bartholomew’s Hospital, London, UK
Paolo Calabrò
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy Department of Cardiology, Division of Clinical Cardiology, A.O.R.N. “Sant’Anna e San Sebastiano”, Caserta, Italy
Giovanbattista Capozzi
Affiliation:
Department of Cardiology, Division of Pediatric Cardiology, A.O.R.N. dei Colli, Monaldi Hospital, Naples, Italy
Maria G. Russo
Affiliation:
Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, Italy Department of Cardiology, Division of Pediatric Cardiology, A.O.R.N. dei Colli, Monaldi Hospital, Naples, Italy
*
Author for correspondence: Dr A. Vergara, MD, Department of Translational Medical Sciences, University of Campania “Luigi Vanvitelli”, Naples, 80131, Italy. Tel: +393339358442; Fax: +390817062815. E-mail: andreavergara2712@gmail.com

Abstract

Kawasaki disease is an acute systemic vascular disease, generally self-limited and typically affecting children <5 years old, which leads to coronary artery aneurysms in about 25% of untreated cases. Cardiovascular involvement is characterised by transient pancarditis, in acute phase, while coronary illness, ranging from mild dilation to giant CAAs occurs late, rarely before the 10th day since fever onset. Here, we describe a peculiar case of KD, which occurred in a 4-month-old infant and presented with exudate cardiac tamponade and early giant aneurism of both the proximal right coronary artery) and the left circumflex coronary artery, in acute phase of the disease.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

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