Published online Oct 6, 2022. doi: 10.12998/wjcc.v10.i28.10266
Peer-review started: May 3, 2022
First decision: June 7, 2022
Revised: June 13, 2022
Accepted: August 25, 2022
Article in press: August 25, 2022
Published online: October 6, 2022
Processing time: 146 Days and 23.5 Hours
Kawasaki disease (KD) is a self-limiting febrile illness and an acute vasculitis with an unknown origin. It predominantly affects children aged < 5 years. KD is the common cause of acquired heart disease in children. We here report a case of KD in an asymptomatic young female patient diagnosed with multiple coronary aneurysms with calcification.
A 29-year-old female patient admitted to Hangzhou First People's Hospital with coronary artery abnormality identified for 1 wk. The patient was asymptomatic; however, chest computed tomography occasionally revealed strip-like dense shadows in the coronal sulcus. After coronary angiography and Doppler echocardiography, the final diagnosis was coronary artery aneurysms (CAAs) caused by KD. Although the patient was asymptomatic with no history of KD in childhood, the definitive diagnosis was CAAs caused by KD. The patient was administered anticoagulant, and surgical treatment was recommended.
KD potentially causes CAAs in 25% of untreated cases, primarily occurring in the proximal portions of the coronary arteries.
Core Tip: Kawasaki disease (KD) is the self-limited febrile illness and predominantly affects children < 5 years of age. Here, we report a case of KD in a young girl with coronary artery aneurysms, but with no symptoms. Coronary artery aneurysms occur primarily in the proximal portions of the major coronary arteries in KD, which may result in myocardial infarction. Patients should be diagnosed and treated immediately to obtain a favorable prognosis.