Kawasaki Disease - Case Report

摘要

A 47-year-old male patient with a history of d i a b e t e s m e l l i t u s , h y p e r t e n s i o n , dyslipidemia, and Kawasaki Disease as a child was referred by his primary care physician to the outpatient clinic with chest pain and was evaluated using multiple imaging modalities, and treated with betablockers, statins, ACE-inhibitors, as well as, aspirin and clopidogrel. Nuclear perfusion imaging yielded inconclusive results and, therefore, the patient underwent Cardiac multi-detector computed tomography (MDCT) with Brilliance CT 64-channel and collimation of 64!0.625 mm which revealed an ectatic and tortuous left main with a large proximal aneurysm of the proximal left anterior descending artery (LAD), as well as multiple smaller aneurysms of both the left circumflex (LCX) system and the right coronary (RCA) system. The LCX aneurysm measured proximally is 11.55 mm by 12.82 mm with visualization of a well-defined thrombus. Cardiac catheterization was performed with the intention of treatment of the ostial stenosis of the first diagonal branch lesion of the LAD for relief of symptoms. He received medical therapy for symptom management including: clopidogrel, aspirin, and long-acting nitrates.