Key result
Surgical treatment was successfully performed in a 55-year-old patient with Kawasaki disease presenting with a coronary aneurysm, ascending aortic aneurysm, and bicuspid aortic disease.
Case Report (n=1)
This case report highlights the successful surgical management of complex cardiovascular complications, including coronary and ascending aortic aneurysms with bicuspid aorta, in an adult patient with a history of Kawasaki disease.
May signal extended aortopathy in Kawasaki disease; leaves open need for aortic surveillance in survivors.
Kawasaki disease was first reported in 1967, and it was classified as an autoimmune vasculitis of the small and medium arteries. It is a self-limiting condition that occurs mostly in childhood, but it may involve complications - such as coronary artery aneurysms, myocardial ischemia, and arrhythmias - with significant morbidity and mortality that occur later in life. In this article, we present the association of an ascending aortic aneurysm with bicuspid aortic disease in addition to coronary aneurysm in a 55-year-old patient diagnosed with Kawasaki disease.
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Borulu et al. (2022) conducted a case report in Kawasaki disease with coronary aneurysm, ascending aortic aneurysm, and bicuspid aorta (n=1). Surgical treatment was evaluated. Surgical treatment was successfully performed in a 55-year-old patient with Kawasaki disease presenting with a coronary aneurysm, ascending aortic aneurysm, and bicuspid aortic disease.
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