Giant Aneurysms in Coronary Arteries of a Young Woman
https://doi.org/10.18087/cardio.2018.1.10085
Abstract
Coronary arteries aneurysms with their thrombotic occlusion are known to be detected in young patients who have suffered Kawasaki disease in childhood. The other vascular beds are usually not involved. In the literature one can find not enough information regarding diagnostics of this pathology, as well as no specific treatment algorithm. We present here a clinical case of re-emergence of giant aneurysms of coronary arteries in the young female patient with subsequent immuno-histological confirmation of previous Kawasaki disease.
About the Authors
Larisa N. Ilyina
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
E. E. Vlasova
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
V. V. Kukharchuk
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
A. A. Shiryaev
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
E. V. Merkulov
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
D. M. Galyautdinov
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
V. P. Vasiliev
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
P. P. Malyshev
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
E. V. Dzybinskaya
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
P. V. Ghumachenko
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
M. A. Aphanasyev
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
R. S. Akchurin
National Medkal Research Center of Cardiology
Russian Federation
Russian Federation
References
1. Nichols L., Lagana S., Parwani A. Coronary Artery Aneurysm: A Review and Hypothesis Regarding Etiology. Pathology and Laboratory Medicine 2008; 132 (5): 823-828.
2. Burns J., Shike H., Gordon J., et al. Sequelae of Kawasaki disease in adolescents and young adults. J. Am Coll Cardiol 1996; 28 (l): 253-257.
3. Лыскина Г. А., Ширинская О. Г. Клиническая картина, диагностика и лечение синдрома Кавасаки: известные факты и нерешенные проблемы. Вопросы современной педиатрии 2013; 12(1): 63-73.
4. Noto N., Okada T., Yamasuge M., et al. Noninvasive Assessment of the Early Progression of Atherosclerosis in Adolescents With Kawasaki Disease and Coronary Artery Lesions. Pediatrics 2001; 107 (5): 1095-1099.
5. Burns J. The riddle of Kawasaki disease. N. Engl J. Med 2007; 356: 659-661.
6. Frazer J. Infectious disease: Blowing in the wind. Nature 2012; 484: 21-23.
7. Burns J., Glode M. Kawasaki syndrome. Lancet 2004; 364: 533-544.
8. McCrindle B., Li J., Minich L., et al. Coronary artery involvement in children with Kawasaki disease: risk factors from analysis of serial normalized measurements. Circulation 2007; 116: 174-179.
9. Chubb H., Simpson J. The use of Z-scores in pediatric cardiology. Pediatr Cardiol 2012; 5 (2): 179-184.
10. Manlhiot C., Millar K., Golding F. et al. Improved classification of coronary artery abnormalities based only on Coronary Artery Z-scores after Kawasaki Disease. Springer Science+Business Media, LLC 2009; DOI 10.1007/s00246-009-9599-7.
11. Abstracts of the 10th International Kawasaki Disease Symposium. February 7-10, 2012. Kyoto, Japan. Pediatr Int 2012; 54 (Suppl. 1): 138-142.
12. Japanese Circulation Society. Guidelines for the diagnosis and management of cardiovascular sequelae in Kawasaki disease. Circ J. 2003; 67 (Suppl. IV): 1111-1174.
13. Tsuda E., Kitamura S. Cooperative Study Group of Japan. National survey of coronary artery bypass grafting for coronary stenosis caused by Kawasaki Disease in Japan. Circulation 2004; 110: 1161-1166.
Review
For citations:
Ilyina L.N., Vlasova E.E., Kukharchuk V.V., Shiryaev A.A., Merkulov E.V., Galyautdinov D.M., Vasiliev V.P., Malyshev P.P., Dzybinskaya E.V., Ghumachenko P.V., Aphanasyev M.A., Akchurin R.S. Giant Aneurysms in Coronary Arteries of a Young Woman. Kardiologiia. 2018;58(1):84-89. (In Russ.) https://doi.org/10.18087/cardio.2018.1.10085
Views:
1441
Email this article 
Post a Comment 
