Images In Cardiology: Aneurysms Of Coronary Arteries

Abstract

A four years old boy was referred for Echocardiography on tenth day of illness with the provisional diagnosis of Kawasaki disease. We found the heart to be structurally normal. We commented that the diagnosis of Kawasaki Disease was often clinical in the acute stage and the absence ofcardiac involvement did not exclude it.Another 25% will regress in size and about 15% progress to stenosis or obstruction of the coronary arteries. They may result in chest pain, myocardial ischemia, myocardial infarction and in smaller children sudden death2. The single most important prognostic feature of these aneurysms is the size.