Cardiac arrest as initial presentation of Kawasaki disease with giant coronary aneurysms: A case report and review of literature

Figure 1 Bedside echocardiography demonstrating giant bilateral coronary artery aneurysms (indicated by orange arrows). A: Right coronary artery aneurysm measuring 8.1 mm (Z-score = +19) with evidence of intraluminal thrombus; B: Left main coronary artery measuring 1.6 mm in diameter, and left anterior descending artery aneurysm measuring 7.5 mm × 10.3 mm (Z-score = +15).

Figure 2 The electrocardiography findings on admission showed sinus tachycardia with ST-segment depression in DI and aVL leads.

Figure 3 Chest X-ray findings. A: Acute pulmonary edema at admission; B: Significant improvement after 5 days of mechanical ventilation, combined continuous renal replacement therapy and plasma exchange.

Figure 4 Contrast-enhanced computed tomography scans of the coronary arteries, with orange arrows indicating the dilated coronary artery. A: Right coronary artery; B: Left coronary artery.

Figure 5 Brain magnetic resonance imaging with contrast showing no evidence of brain injury.