Retrospective Study
Copyright ©The Author(s) 2025. Published by Baishideng Publishing Group Inc. All rights reserved.
World J Clin Pediatr. Mar 9, 2025; 14(1): 99177
Published online Mar 9, 2025. doi: 10.5409/wjcp.v14.i1.99177
Congenital anomalies of coronary artery misdiagnosed as coronary dilatations in Kawasaki disease: A clinical predicament
Rakesh Kumar Pilania, Pallavi L Nadig, Suprit Basu, Reva Tyagi, Abarna Thangaraj, Ridhima Aggarwal, Munish Arora, Arun Sharma, Surjit Singh, Manphool Singhal
Rakesh Kumar Pilania, Pallavi L Nadig, Suprit Basu, Reva Tyagi, Abarna Thangaraj, Ridhima Aggarwal, Munish Arora, Surjit Singh, Pediatric Allergy Immunology Unit, Department of Pediatrics, Advanced Pediatrics Center, Post Graduate Institute of Medical Education and Research, Chandigarh 160012, Chandīgarh, India
Arun Sharma, Manphool Singhal, Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Chandigarh 160012, Chandīgarh, India
Author contributions: Pilania RK, Nadig PL, Singhal M contributed to inception of idea, writing of initial draft, editing, and revision of the manuscript, and review of the literature; Pilania RK and Nadig PL contribute equally; Nadig PL, Basu S, Tyagi R, Thangaraj A, Aggarwal R, Arora M contributed to patient evaluation, management and follow-up, editing, and revision of the manuscript, acquisition of clinical photographs; Pilania RK, Sharma A, Singh S, Singhal M contributed to editing and revision of the manuscript and patient evaluation and management and overall supervision of manuscript preparation. All authors have read and approved the manuscript.
Institutional review board statement: The study is reviewed and approved by the Departmental Review Board [Approval number- RDG/EC/Pub/08 (dated 08/02/2024)].
Informed consent statement: Parents of patients given written informed consent for CT coronary angiography. Patients were not required to give informed consent to the study because the analysis used anonymous data that were obtained from the review of records.
Conflict-of-interest statement: Authors declare no conflicts of interest.
Data sharing statement: Data sharing statement: The data underlying this article are available in the manuscript and our records. These data can be shared on request.
Open-Access: This article is an open-access article that was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution NonCommercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: https://creativecommons.org/Licenses/by-nc/4.0/
Corresponding author: Manphool Singhal, DNB, MD, Professor, Department of Radiodiagnosis and Imaging, Postgraduate Institute of Medical Education and Research, Madhya Marg, Sector 12, Chandigarh 160012, Chandīgarh, India. drmsinghal74@gmail.com
Received: July 15, 2024
Revised: October 8, 2024
Accepted: November 12, 2024
Published online: March 9, 2025
Processing time: 157 Days and 13.3 Hours
Core Tip

Core Tip: Congenital coronary artery anomalies are liable to be misinterpreted as coronary artery abnormalities (CAAs) on 2D-echocardiography in children with Kawasaki disease. Computed tomography coronary angiography is essential for the detailed evaluation of coronary arteries.