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Images In Cardiology: Aneurysms Of Coronary Arteries

机译:心脏病学影像:冠状动脉瘤

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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.
机译:患病第10天,一名四岁男孩被转诊接受了超声心动图检查,初步诊断为川崎病。我们发现心脏在结构上正常。我们评论说,川崎病的诊断通常是在急性期进行的,没有心脏受累并不排除它的发生,另外25%的大小会消退,约15%的进展为冠状动脉狭窄或阻塞。它们可能导致胸痛,心肌缺血,心肌梗塞和较小的儿童猝死2。这些动脉瘤最重要的预后特征是大小。

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