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Assessment of coronary artery abnormalities in a patient with Kawasaki disease by multislice computed tomography
Authors:Yuichi Sato  Naoya Matsumoto  Fumio Inoue  Takako Imazeki  Junji Kusama  Tetsuo Tamaki  Satoru Furuhashi  Motoichiro Takahashi  Hiroshi Kanamaru  Kensuke Karasawa  Mamoru Ayusawa  Kensuke Harada  Katsuo Kanmatsuse
Affiliation:(1) Second Department of Cardiology, Nihon University School of Medicine, Surugadai Hospital, 1-8-13 Kanda-Surugadai, Chiyoda-ku, Tokyo 101-8309, Japan;(2) Department of Radiology, Nihon University School of Medicine, Tokyo, Japan;(3) Department of Pediatrics, Nihon University School of Medicine, Tokyo, Japan
Abstract:The high spatial resolution of multislice computed tomography (MSCT) permits direct visualization of the coronary artery system. In this report, we describe coronary artery abnormalities in a young adult with Kawasaki disease. MSCT detected a giant coronary artery aneurysm, coronary artery stenosis in the first diagonal artery, and a multi-layered structure in the right coronary artery and the left circumflex artery. These findings corresponded well to those obtained by coronary angiography. MSCT has the potential to be the standard diagnostic tool for the follow-up evaluation of coronary artery disease in adolescents and young adults with Kawasaki disease.
Keywords:Multislice computed tomography  Kawasaki disease  Coronary artery disease
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