Korean J Leg Med.  1997 May;21(1):105-112.

Calcification and Aneurysms of Coronary Artery without Atherosclerosis in Young Adult

• Lee JS
• Lee YJ
• Park JT

Abstract

Coronary artery calcification(CAC) is found frequently in the atheromatous plaques CAC is known to have increased frequency above 40 years. CAC without evidence of atherosclerosis in young adults is quite rare, however, CAC combined with aneurysms in young adults have been infrequently reported in patients with a past history of a Kawasaki disease in child. We report an autopsy case showing CAC and aneurysm in the absence of macroscopically identified atherosclerotic lesions in a healthy 23-year-old man. The autopsy examination revealed aneurysmal dilatation of the right coronary artery which was connected with calcified lesion. A calcified lesion of the left anterior descending coronary artery was aslo noted. Microscopically, aneurysmal wall was non-specific except for hyalinized wall and foci of calcification. A striking histologic finding of calcified mass was ring calcification along the wall of the coronary artery. Antecedent Kawasaki disease in the past was suggestive as other reports.

MeSH Terms

Aneurysm*
Atherosclerosis*
Autopsy
Child
Coronary Vessels*
Dilatation
Humans
Hyalin
Mucocutaneous Lymph Node Syndrome
Plaque, Atherosclerotic
Strikes, Employee
Young Adult*