Medicine in images
Rosary-like giant coronary artery aneurysms in Kawasaki disease: Diagnosis with prospectively ECG-gated dual source CT angiography
Aneurismas coronarios gigantes tipo rosario en la enfermedad de Kawasaki: diagnóstico mediante angio-TC de doble fuente con ECG-gated prospectiva
a Department of Radiology, Medical Faculty, Selcuk University, Konya, Turkey
b Department of Pediatric Infection Disease, Medical Faculty, Selcuk University, Konya, Turkey
c Department of Pediatric Cardiology, Medical Faculty, Selcuk University, Konya, Turkey
d Department of Neonatology, Medical Faculty, Selcuk University, Konya, Turkey
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Laboratory results revealed: leukocyte count 19,700/mm<span class="elsevierStyleSup">3</span>, hematocrit 31.5%, platelets 698,000/mm<span class="elsevierStyleSup">3</span>, erythrocyte sedimentation rate 85<span class="elsevierStyleHsp" style=""></span>mm/h and C-reactive protein 171<span class="elsevierStyleHsp" style=""></span>mg/L. Echocardiography was unremarkable. A diagnosis of incomplete Kawasaki disease was made. Ten days later, a follow-up echocardiography revealed a proximal right coronary artery (CA) aneurysm. In a coronary CT angiography, axial (A) and coronal oblique (B) maximum intensity projection images showed the rosary-like multiple CA aneurysms (small arrows), the largest size being 15<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>10<span class="elsevierStyleHsp" style=""></span>mm in right CA and 10<span class="elsevierStyleHsp" style=""></span>mm<span class="elsevierStyleHsp" style=""></span>×<span class="elsevierStyleHsp" style=""></span>8<span class="elsevierStyleHsp" style=""></span>mm in left anterior descending (LAD) artery. A three dimension volume rendered image showed multiple CA aneurysms in right CA, LAD and, in the proximal circumflex artery (arrowhead) (C) (<a class="elsevierStyleCrossRef" href="#fig0005">Fig. 1</a>).</p><elsevierMultimedia ident="fig0005"></elsevierMultimedia></span>" "pdfFichero" => "main.pdf" "tienePdf" => true "fechaRecibido" => "2015-07-08" "fechaAceptado" => "2015-07-30" "multimedia" => array:1 [ 0 => array:6 [ "identificador" => "fig0005" "etiqueta" => "Figure 1" "tipo" => "MULTIMEDIAFIGURA" "mostrarFloat" => true "mostrarDisplay" => false "figura" => array:1 [ 0 => array:4 [ "imagen" => "gr1.jpeg" "Alto" => 675 "Ancho" => 2068 "Tamanyo" => 173299 ] ] ] ] ] "idiomaDefecto" => "en" "url" => "/00142565/0000021600000001/v1_201601280010/S001425651500226X/v1_201601280010/en/main.assets" "Apartado" => array:4 [ "identificador" => "1065" "tipo" => "SECCION" "es" => array:2 [ "titulo" => "Medicina en imágenes" "idiomaDefecto" => true ] "idiomaDefecto" => "es" ] "PDF" => "https://static.elsevier.es/multimedia/00142565/0000021600000001/v1_201601280010/S001425651500226X/v1_201601280010/en/main.pdf?idApp=WRCEE&text.app=https://revclinesp.es/" "EPUB" => "https://multimedia.elsevier.es/PublicationsMultimediaV1/item/epub/S001425651500226X?idApp=WRCEE" ]
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