Yeungnam Univ J Med.  2017 Jun;34(1):106-110. 10.12701/yujm.2017.34.1.106.

Acute myocardial infarction with a giant left main aneurysm in atypical Kawasaki disease

Affiliations
  • 1Department of Internal Medicine, Hongik Hospital, Seoul, Korea. kerveros@chol.com

Abstract

Kawasaki disease (KD) is an acute vasculitis of small and medium sized arteries. Even many years after onset, aneurysms and stenosis in coronary arteries may lead to an acute myocardial infarction, which is described as atypical or missed KD in childhood. KD is an underlying disease of young adults with acute myocardial infarction. We report on a rare case involving a total occlusion in the proximal left anterior descending coronary artery combined with a giant left main aneurysm in a young adult patient with acute myocardial infarction ascribed to antecedent KD that is undefined but almost certain.

Keyword

Kawasaki disease; Myocardial infarction; Coronary aneurysm

MeSH Terms

Aneurysm*
Arteries
Constriction, Pathologic
Coronary Aneurysm
Coronary Vessels
Humans
Mucocutaneous Lymph Node Syndrome*
Myocardial Infarction*
Vasculitis
Young Adult
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