Korean Circ J.  2022 Jul;52(7):558-559.

A Case of Incomplete Kawasaki Disease Complicated by Acute Coronary Syndrome Initially Diagnosed on Coronary CT Angiography

• Son MJ
• Lee SJ
• Yoo SM
• Kim SH
• Kim SM
• White CS

Figure

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  Figure 1 A case of incomplete Kawasaki disease complicated by acute coronary syndrome. (A) Multiple CAA (arrowheads) are noted in proximal LAD and RCA on an axial CT image. Note tortuous recanalization (arrows) of the thrombotic occlusion (arrowheads) of the LAD (B) and RCA (C and D) on curved multi-planar reformatted and coronal images, respectively. Apical akinesia (arrowheads) is noted on systolic image (E) on 2 chamber view of CT in comparison to diastolic image (F), suggesting ischemic cardiomyopathy. Subsequent magnetic resonance demonstrated delayed enhancement (arrowheads on G and H) in the LAD and RCA territories on a short-axis view, suggesting acute myocardial infarction.CAA = coronary artery aneurysms; CT = computed tomography; LA = left atrium; LAD = left anterior descending; LV = left ventricle; RCA = right coronary artery.

Reference

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2. Goh YG, Ong CC, Tan G, et al. Coronary manifestations of Kawasaki Disease in computed tomography coronary angiography. J Cardiovasc Comput Tomogr. 2018; 12:275–280. PMID: 29426687.