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• W2025181617 abstract "HomeCirculationVol. 97, No. 4Kawasaki Disease Free AccessOtherPDF/EPUBAboutView PDFView EPUBSections ToolsAdd to favoritesDownload citationsTrack citationsPermissions ShareShare onFacebookTwitterLinked InMendeleyReddit Jump toFree AccessOtherPDF/EPUBKawasaki Disease Coronary Aneurysms in Mother and Son Elchanan Bruckheimer, Ziad Bulbul, Paul McCarthy, Joseph A. Madri, Alan H. Friedman and William E. Hellenbrand Elchanan BruckheimerElchanan Bruckheimer From the Section of Pediatric Cardiology, General Pediatrics (P.M.), and Department of Pathology (J.A.M.), Yale University School of Medicine, New Haven, Conn. Search for more papers by this author , Ziad BulbulZiad Bulbul From the Section of Pediatric Cardiology, General Pediatrics (P.M.), and Department of Pathology (J.A.M.), Yale University School of Medicine, New Haven, Conn. Search for more papers by this author , Paul McCarthyPaul McCarthy From the Section of Pediatric Cardiology, General Pediatrics (P.M.), and Department of Pathology (J.A.M.), Yale University School of Medicine, New Haven, Conn. Search for more papers by this author , Joseph A. MadriJoseph A. Madri From the Section of Pediatric Cardiology, General Pediatrics (P.M.), and Department of Pathology (J.A.M.), Yale University School of Medicine, New Haven, Conn. Search for more papers by this author , Alan H. FriedmanAlan H. Friedman From the Section of Pediatric Cardiology, General Pediatrics (P.M.), and Department of Pathology (J.A.M.), Yale University School of Medicine, New Haven, Conn. Search for more papers by this author and William E. HellenbrandWilliam E. Hellenbrand From the Section of Pediatric Cardiology, General Pediatrics (P.M.), and Department of Pathology (J.A.M.), Yale University School of Medicine, New Haven, Conn. Search for more papers by this author Originally published3 Feb 1998https://doi.org/10.1161/01.CIR.97.4.410Circulation. 1998;97:410–411A 33-year-old woman developed shock and died 16 hours after labor with moderate hemorrhage. Her autopsy revealed (Fig 1) large (>1.5-cm), calcified aneurysms of the proximal right (RCA), left main (LCA), and left anterior descending coronary arteries (Ao indicates aorta). Plain radiographs (Fig 2) demonstrated the calcification. Histology showed no atherosclerotic changes or active arteritis, and the aorta and other large vessels were normal. When the patient was 16 years old, she had had a prolonged undiagnosed febrile illness with peripheral edema and desquamation, lymphadenopathy, and rash. The combination of this previous illness and extensive and solely coronary artery disease suggests Kawasaki disease (KD). This woman’s son, the product of that pregnancy, was admitted 5 years later with classic KD. Treatment with high-dose aspirin and single-dose intravenous gamma globulin was initiated on day 5 of illness, with defervescence within 36 hours. Four weeks after discharge, two-dimensional echocardiography showed 4-mm dilatation of the proximal right coronary artery with a long fusiform aneurysm of 5- to 6-mm diameter more distally. The left main coronary artery was dilated to 6 mm, and there was a long fusiform aneurysm of the left anterior descending branch of 6-mm diameter. Fig 3, Parasternal short-axis view showing the aortic valve (Ao) with a dilated left main coronary artery (LCA). Fig 4, Parasternal long-axis view with cranial angulation showing the dilated left main coronary artery and a fusiform aneurysm of the proximal left anterior descending branch (LAD). These findings were present for 6 months and then resolved completely. Coronary artery aneurysms due to KD occurring in a parent and child have not been reported previously. The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.Circulation encourages readers to submit cardiovascular images to Dr Hugh McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner, MC1-267, Houston, TX 77030.Download figureDownload PowerPoint Figure 1. Download figureDownload PowerPoint Figure 2. Download figureDownload PowerPoint Figure 3. Download figureDownload PowerPoint Figure 4. FootnotesCorrespondence to W.E. Hellenbrand, MD, Section of Pediatric Cardiology, Yale University School of Medicine, 333 Cedar St, PO Box 208064, CT 06520-8064. Previous Back to top Next FiguresReferencesRelatedDetailsCited By Keir M, Bhagra C, Vatenmakher D, Arancibia-Galilea F, Jansen K, Toh N, Silversides C, Colman J, Siu S, Sermer M, Crean A and Wald R (2017) Paediatric-onset coronary artery anomalies in pregnancy: a single-centre experience and systematic literature review, Cardiology in the Young, 10.1017/S1047951117000658, 27:8, (1529-1537), Online publication date: 1-Oct-2017. McCrindle B, Rowley A, Newburger J, Burns J, Bolger A, Gewitz M, Baker A, Jackson M, Takahashi M, Shah P, Kobayashi T, Wu M, Saji T and Pahl E (2017) Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Scientific Statement for Health Professionals From the American Heart Association, Circulation, 135:17, (e927-e999), Online publication date: 25-Apr-2017. Argo A, Zerbo S, Maresi E, Rizzo A, Sortino C, Grassedonio E and Midiri M (2016) Utility of post mortem MRI in definition of thrombus in aneurismatic coronary arteries due to incomplete Kawasaki Disease in infants, Journal of Forensic Radiology and Imaging, 10.1016/j.jofri.2016.10.001, 7, (17-20), Online publication date: 1-Dec-2016. Kim D (2006) Kawasaki Disease, Yonsei Medical Journal, 10.3349/ymj.2006.47.6.759, 47:6, (759), . Zulian F and Kawasaki T (2006) Kawasaki Disease The Skin in Systemic Autoimmune Diseases, 10.1016/S1571-5078(05)05021-X, (295-309), . Newburger J, Takahashi M, Gerber M, Gewitz M, Tani L, Burns J, Shulman S, Bolger A, Ferrieri P, Baltimore R, Wilson W, Baddour L, Levison M, Pallasch T, Falace D and Taubert K (2004) Diagnosis, Treatment, and Long-Term Management of Kawasaki Disease: A Statement for Health Professionals From the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association, Pediatrics, 10.1542/peds.2004-2182, 114:6, (1708-1733), Online publication date: 1-Dec-2004. Burns J and Glodé M (2004) Kawasaki syndrome, The Lancet, 10.1016/S0140-6736(04)16814-1, 364:9433, (533-544), Online publication date: 1-Aug-2004. Kogulan P, Mbualungu E, Villanueva E, Coe M and Lucey D (2001) Kawasaki Syndrome in an Adult: Case Report and Review of the Literature in Adolescents and Adults, JCR: Journal of Clinical Rheumatology, 10.1097/00124743-200106000-00013, 7:3, (194-198), Online publication date: 1-Jun-2001. February 3, 1998Vol 97, Issue 4 Advertisement Article InformationMetrics Copyright © 1998 by American Heart Associationhttps://doi.org/10.1161/01.CIR.97.4.410 Originally publishedFebruary 3, 1998 PDF download Advertisement" @default.
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