Key result
Hemodynamic stabilization and strict anticoagulation prevent rupture in super-giant Kawasaki coronary aneurysms.
Why the study?
No fixed consensus has been reached for the management of super-giant coronary aneurysms in the acute setting after Kawasaki disease.
Case Report (n=2)
No
Hemodynamic stabilization and strict anticoagulation may be effective strategies for managing acute super-giant coronary aneurysms following Kawasaki disease.
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Should not change practice for super-giant aneurysms in Kawasaki disease; hypothesis-generating from two cases and requires prospective validation.
Lee et al. (2014) conducted a case report in Kawasaki disease with super-giant coronary aneurysms (n=2). Hemodynamic stabilization and strict anticoagulation was evaluated. Hemodynamic stabilization and strict anticoagulation successfully managed super-giant coronary aneurysms and prevented further dilation or rupture in two young children with Kawasaki disease.
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