Comprehensive Evaluation of Kawasaki Disease with Electrocardiogram-gated Cardiac Multidetector Computed Tomography

Eduard Ghersin; Sudha Thota; Joel E. Fishman; Maureen H. Lowery; Geraldo Ramos

doi:10.1097/RTI.0b013e3181caad63

Comprehensive Evaluation of Kawasaki Disease with Electrocardiogram-gated Cardiac Multidetector Computed Tomography

Eduard Ghersin, Sudha Thota, Joel E. Fishman, Maureen H. Lowery, Geraldo Ramos

Radiology

Research output: Contribution to journal › Article › peer-review

Abstract

We present a case of a young woman with Kawasaki disease who was comprehensively evaluated by electrocardiograph-gated cardiac multidetector computed tomography (MDCT). MDCT disclosed 3-vessel giant coronary arterial aneurysms and associated focal apical septal myocardial pathology. This was characterized by an early enhancement defect, myocardial thinning, and hypokinesia. These findings are likely due to focal ischemic insult resulting from distal embolization of thrombus material from the giant proximal right coronary arterial aneurysms. This case illustrates the full capabilities of MDCT in the comprehensive evaluation of Kawasaki disease.

Original language	English (US)
Pages (from-to)	W112-W114
Journal	Journal of Thoracic Imaging
Volume	25
Issue number	4
DOIs	https://doi.org/10.1097/RTI.0b013e3181caad63
State	Published - Nov 2010

Keywords

computed tomography coronary angiography
coronary artery aneurysm
Kawasaki disease
multidetector computed tomography
myocardial enhancement defect
myocardial hypokinesis

ASJC Scopus subject areas

Radiology Nuclear Medicine and imaging
Pulmonary and Respiratory Medicine

Access to Document

10.1097/RTI.0b013e3181caad63

Cite this

@article{9e4d7c11328042748b75e7a49ef39a6e,

title = "Comprehensive Evaluation of Kawasaki Disease with Electrocardiogram-gated Cardiac Multidetector Computed Tomography",

abstract = "We present a case of a young woman with Kawasaki disease who was comprehensively evaluated by electrocardiograph-gated cardiac multidetector computed tomography (MDCT). MDCT disclosed 3-vessel giant coronary arterial aneurysms and associated focal apical septal myocardial pathology. This was characterized by an early enhancement defect, myocardial thinning, and hypokinesia. These findings are likely due to focal ischemic insult resulting from distal embolization of thrombus material from the giant proximal right coronary arterial aneurysms. This case illustrates the full capabilities of MDCT in the comprehensive evaluation of Kawasaki disease.",

keywords = "computed tomography coronary angiography, coronary artery aneurysm, Kawasaki disease, multidetector computed tomography, myocardial enhancement defect, myocardial hypokinesis",

author = "Eduard Ghersin and Sudha Thota and Fishman, {Joel E.} and Lowery, {Maureen H.} and Geraldo Ramos",

year = "2010",

month = nov,

doi = "10.1097/RTI.0b013e3181caad63",

language = "English (US)",

volume = "25",

pages = "W112--W114",

journal = "Journal of Thoracic Imaging",

issn = "0883-5993",

publisher = "Lippincott Williams and Wilkins",

number = "4",

}

TY - JOUR

T1 - Comprehensive Evaluation of Kawasaki Disease with Electrocardiogram-gated Cardiac Multidetector Computed Tomography

AU - Ghersin, Eduard

AU - Thota, Sudha

AU - Fishman, Joel E.

AU - Lowery, Maureen H.

AU - Ramos, Geraldo

PY - 2010/11

Y1 - 2010/11

N2 - We present a case of a young woman with Kawasaki disease who was comprehensively evaluated by electrocardiograph-gated cardiac multidetector computed tomography (MDCT). MDCT disclosed 3-vessel giant coronary arterial aneurysms and associated focal apical septal myocardial pathology. This was characterized by an early enhancement defect, myocardial thinning, and hypokinesia. These findings are likely due to focal ischemic insult resulting from distal embolization of thrombus material from the giant proximal right coronary arterial aneurysms. This case illustrates the full capabilities of MDCT in the comprehensive evaluation of Kawasaki disease.

AB - We present a case of a young woman with Kawasaki disease who was comprehensively evaluated by electrocardiograph-gated cardiac multidetector computed tomography (MDCT). MDCT disclosed 3-vessel giant coronary arterial aneurysms and associated focal apical septal myocardial pathology. This was characterized by an early enhancement defect, myocardial thinning, and hypokinesia. These findings are likely due to focal ischemic insult resulting from distal embolization of thrombus material from the giant proximal right coronary arterial aneurysms. This case illustrates the full capabilities of MDCT in the comprehensive evaluation of Kawasaki disease.

KW - computed tomography coronary angiography

KW - coronary artery aneurysm

KW - Kawasaki disease

KW - multidetector computed tomography

KW - myocardial enhancement defect

KW - myocardial hypokinesis

UR - http://www.scopus.com/inward/record.url?scp=78549295849&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=78549295849&partnerID=8YFLogxK

U2 - 10.1097/RTI.0b013e3181caad63

DO - 10.1097/RTI.0b013e3181caad63

M3 - Article

C2 - 20531228

AN - SCOPUS:78549295849

VL - 25

SP - W112-W114

JO - Journal of Thoracic Imaging

JF - Journal of Thoracic Imaging

SN - 0883-5993

IS - 4

ER -

Comprehensive Evaluation of Kawasaki Disease with Electrocardiogram-gated Cardiac Multidetector Computed Tomography

Abstract

Keywords

ASJC Scopus subject areas

Access to Document

Other files and links

Fingerprint

Cite this