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• W4308509839 abstract "HomeRadiologyVol. 306, No. 3 PreviousNext Reviews and CommentaryFree AccessImages in RadiologyKawasaki Disease with Unusual Systemic Arterial AneurysmsXiming Wang, Zhaoping Cheng Ximing Wang, Zhaoping Cheng Author AffiliationsFrom the Department of Radiology, Shandong Provincial Hospital Affiliated to Shandong First Medical University, Jinan, Shandong, China (X.W.); and Department of Nuclear Medicine, The First Affiliated Hospital of Shandong First Medical University & Shandong Provincial Qianfoshan Hospital, Jinan 250014, Shandong, China (Z.C.).Address correspondence to Z.C. (email: [email protected]).Ximing WangZhaoping Cheng Published Online:Nov 8 2022https://doi.org/10.1148/radiol.221084MoreSectionsPDF ToolsImage ViewerAdd to favoritesCiteTrack CitationsPermissionsReprints ShareShare onFacebookTwitterLinked In A 23-year-old woman presented with more than a year history of hypertension of unknown origin. Workup with echocardiogram revealed elevation of N-terminal pro–B-type natriuretic peptide, a marker of cardiac dysfunction, and increased left ventricular resistance load. CT angiogram showed multiple unusual aneurysms, including whole course aneurysmal dilatation of the right coronary artery (Figure, A, B), aneurysms of the celiac trunk, and hepatic, splenic, mesenteric, and bilateral renal arteries (Figure, A), as well as bilateral vertebral arteries (Figure, C). Subsequently, the diagnosis of Kawasaki disease with systemic arterial aneurysms was confirmed.CT angiograms in a 23-year-old woman with Kawasaki disease. (A) Cinematic rendering shows multiple aneurysms, including whole course aneurysmal dilatation of the right coronary artery (white arrow) and aneurysms of the hepatic artery (red arrow), splenic artery (yellow arrow), right (green arrow) and left (blue arrow) renal arteries, superior mesenteric artery (purple arrow), and inferior mesenteric artery (orange arrow). (B) Maximum intensity projection shows whole course aneurysmal dilatation of the right coronary artery (arrow). (C) Cinematic rendering shows right (blue arrow) and left (red arrow) vertebral artery aneurysms.Download as PowerPointOpen in Image Viewer Kawasaki disease is an acute vasculitis, usually diagnosed in children between 6 months and 5 years of age. Coronary artery aneurysms are the most recognized complication, seen in approximately 25% of patients without immunoglobulin treatment (1). Rarely, aneurysms of other medium-sized arteries have also been reported (2). Systemic arterial aneurysms, as shown in this case, are uncommon, with a prevalence of 0.8%–2% (3).Disclosures of conflicts of interest: X.W. No relevant relationships. Z.C. No relevant relationships.References1. McCrindle BW, Rowley AH, Newburger JW, et al. Diagnosis, treatment, and long-term management of Kawasaki Disease: a scientific statement for health professionals from the American Heart Association. Circulation 2017;135(17):e927–e999. Crossref, Medline, Google Scholar2. Briceno-Medina M, Perez M, Waller BR, Sathanandam S. Systemic and pulmonary artery aneurysms in incomplete Kawasaki disease. J Cardiol Cases 2016;13(6):185–188. Crossref, Medline, Google Scholar3. Zhao QM, Chu C, Wu L, et al. Systemic artery aneurysms and Kawasaki disease. Pediatrics 2019;144(6):e20192254. Crossref, Medline, Google ScholarArticle HistoryReceived: May 1 2022Revision requested: June 21 2022Revision received: July 20 2022Accepted: July 25 2022Published online: Nov 08 2022 FiguresReferencesRelatedDetailsRecommended Articles Spectrum of Coronary Artery Aneurysms: From the Radiologic Pathology ArchivesRadioGraphics2018Volume: 38Issue: 1pp. 11-36Coronary Artery Aneurysm in Kawasaki Disease: Coronary CT Angiography through the Lens of Pathophysiology and Differential DiagnosisRadiology: Cardiothoracic Imaging2021Volume: 3Issue: 5Multiple Systemic Arterial Aneurysms in Kawasaki DiseaseRadioGraphics2022Volume: 42Issue: 3pp. E88-E89IgG4-related Cardiovascular Disease from the Aorta to the Coronary Arteries: Multidetector CT and PET/CTRadioGraphics2018Volume: 38Issue: 7pp. 1934-1948CT and MR Imaging of Cardiothoracic VasculitisRadioGraphics2018Volume: 38Issue: 4pp. 997-1021See More RSNA Education Exhibits Vasculitides from Head to Toe: Multimodality Imaging Diagnosis, Treatment, and ManagementDigital Posters2022Image Findings of Aneurysms in ChildrenDigital Posters2019Does Size Really Matter? Imaging in Visceral Artery AneurysmsDigital Posters2022 RSNA Case Collection Anomalous Left Coronary Artery from Pulmonary Artery (ALCAPA)RSNA Case Collection2020Takayasu arteritisRSNA Case Collection2022Accessory Left Hepatic ArteryRSNA Case Collection2022 Vol. 306, No. 3 Metrics Altmetric Score PDF download" @default.
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• W4308509839 title "Kawasaki Disease with Unusual Systemic Arterial Aneurysms" @default.
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