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Revista médica de Chile · May 2021
Case Reports[Coronary aneurysm secondary to Kawasaki disease in an adult. Report of one case].
- Milton Alcaíno I, Denisse Lama H, and Gonzalo Pereira R.
- Hospital Clínico Punta Arenas, Chile.
- Rev Med Chil. 2021 May 1; 149 (5): 803-806.
AbstractKawasaki disease (KD) can be a primary cause of an acute coronary syndrome in young adults, with or without a history of KD during childhood. We report a 31year old female, admitted for acute chest pain. She had negative T waves on DIII and AVF leads of the electrocardiogram. Troponins were positive. A cardiac magnetic resonance was compatible with an acute inferior myocardial infarction. In the coronary angiography she had a calcified complete occlusion of the proximal right coronary artery. The left coronary artery had no visible lesions. A computed angiogram showed an extensive calcified and thrombotic aneurysm of the right coronary artery, compatible with Kawasaki disease (KD). The patient was discharged seven days after admission in good conditions.
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