CT angiography is a valuable imaging modality for accurately assessing giant coronary aneurysms secondary to Kawasaki disease to guide appropriate surgical revascularization.
May aid CT angiography for aneurysm sizing in adult KD; leaves open optimal revascularization strategies.
Giant coronary aneurysms are late sequelae of Kawasaki disease (KD). We describe a 53-year-old patient who presented with acute myocardial infarction and proximal aneurysms of all three coronary arteries. Coronary angiography demonstrated the aneurysms, but CT angiography allowed accurate assessment of the real dimensions of the aneurysms and making the decision on the preferred method of revascularization. The patient underwent coronary bypass surgery and is asymptomatic at follow-up.
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Akel et al. (2021) studied this question.
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