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

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

Research output: Contribution to journalArticle

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 languageEnglish (US)
Pages (from-to)W112-W114
JournalJournal of Thoracic Imaging
Volume25
Issue number4
DOIs
StatePublished - 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

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