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- W2146578633 abstract "Kawasaki Disease (KD) is now the most common cause of acquired heart disease in children worldwide. Early recognition of the risk factors can reduce the incidence of the development of coronary artery lesions [ 1 Newburger J.W. Takahashi M. Gerber M.A. et al. 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. 2004; 114: 1708-1733 Crossref PubMed Scopus (1125) Google Scholar , 2 Kobayashi T. Inoue Y. Takeuchi K. et al. Prediction of intravenous immunoglobulin unresponsiveness in patients with Kawasaki disease. Circulation. 2006; 113: 2606-2612 Crossref PubMed Scopus (544) Google Scholar ]. The widespread use of intravenous immunoglobulin (IVIG) within 10 days of onset has resulted in a marked reduction in the rate of coronary artery lesions in KD. However, at least 10% of KD patients develop a transient coronary artery dilation and 0.35% develop giant aneurysms [ 3 Newburger J.W. Takahashi M. Beiser A.S. Burns J.C. Bastian J. Chung K.J. et al. A single intravenous infusion of gamma globulin as compared with four infusions in the treatment of acute Kawasaki syndrome. N. Engl. J. Med. 1991; 324: 1633-1639 Crossref PubMed Scopus (1015) Google Scholar , 4 Peng H. Wu Z. Liu Y. Li L. Kong S. Wu J. Liu Y. Low-dose antithrombotic treatment in coronary thrombosis of Kawasaki disease. Pediatr. Cardiol. Mar 2015; 36: 503-508 Crossref PubMed Scopus (7) Google Scholar ]. Congenital coronary artery anomalies (CCAAs) are rare, occurring in less than 1% of the general population. Although congenital CCAAs are asymptomatic, it may induce sudden death or cause myocardial ischemia and cardiac failure. Identification of CCAAs can be documented by autopsy, echocardiography, diagnostic coronary angiography, multi-slice coronary computed tomography (CT) angiography, or cardiac magnetic resonance imaging. In this presentation, we will report two KD patients with CCAAs, which we misdiagnosed to coronary artery dilation." @default.
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- W2146578633 date "2015-11-01" @default.
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- W2146578633 title "Congenital coronary artery anomalies in Kawasaki Disease" @default.
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- W2146578633 doi "https://doi.org/10.1016/j.ijcard.2015.07.026" @default.
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