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Acute myocardial infarction as the first manifestation of the incomplete Kawasaki disease in a young male

Published online by Cambridge University Press:  09 September 2009

Hassan Javadzadegan*
Affiliation:
Department of Cardiology, Tabriz University of Medical Sciences, Tabriz, Iran
Jafar Mehdizadeh Baghbani
Affiliation:
Department of Cardiology, Tabriz University of Medical Sciences, Tabriz, Iran
Sara Farhang
Affiliation:
Department of Cardiology, Tabriz University of Medical Sciences, Tabriz, Iran
*
Correspondence to: Dr Hassan Javadzadegan, Department of Cardiology, Shahid-Madani Hospital, University Street, Tabriz, East Azerbaijan, Iran. Tel and Fax: +98+411+3292040; E-mail: [email protected]

Abstract

Kawasaki disease is a systemic vasculitis occurring in children of all ages. Coronary arterial aneurysms are one of the main fatal complications of the disease, and are usually observed with the onset of coronary arterial disease in adults. We report a young male presenting with myocardial infarction due to coronary arterial aneurysms, but in the absence of previous symptoms of Kawasaki disease.

Type
Brief Reports
Copyright
Copyright © Cambridge University Press 2009

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References

1.Saffar, MJ, Reshidighader, F. Kawasaki disease in East Mazandaran, Islamic Republic of Iran, 1997–2002. East Med Health J 2005; 11: 2835.Google ScholarPubMed
2.Burns, JC, Shike, H, Gordon, JB, Malhotra, A, Schoenwetter, M, Kawasaki, T. Sequelae of Kawasaki disease in adolescents and young adults. J Am Coll Cardiol 1996; 28: 253257.CrossRefGoogle ScholarPubMed
3.Kato, H, Ichinose, E, Yoshioka, F, et al. Fate of coronary aneurysms in Kawasaki disease: serial coronary angiography and long-term follow-up study. Am J Cardiol 1982; 49: 17581766.CrossRefGoogle ScholarPubMed
4.Kato, H, Ichinose, E, Kawasaki, T. Myocardial infarction in Kawasaki disease: clinical analyses in 195 cases. J Pediatr 1986; 108: 923927.CrossRefGoogle ScholarPubMed
5.Kitamura, A, Mukohara, N, Ozaki, N, Yoshida, M, Shida, T. Two adult cases of coronary artery aneurysms secondary to Kawasaki disease. Thorac Cardiovasc Surg 2008; 56: 5159.CrossRefGoogle ScholarPubMed
6.Wilder, MS, Palinkas, LA, Kao, AS, Bastian, JF, Turner, CL, Burns, JC. Delayed diagnosis by physicians contributes to the development of coronary artery aneurysms in children with Kawasaki syndrome. Pediatr Infect Dis J 2007; 26: 256260.CrossRefGoogle Scholar
7.Baer, AZ, Rubin, LG, Shapiro, CA, et al. Prevalence of coronary artery lesions on the initial echocardiogram in Kawasaki syndrome. Arch Pediatr Adolesc Med 2006; 160: 686690.CrossRefGoogle ScholarPubMed
8.Moradinejad, MH, Kiani, A. Kawasaki Disease in 159 Iranian Children. Iran J Ped 2007; 17: 241246.Google Scholar
9.Tsuda, E, Kamiya, T, Ono, Y, Kimura, K, Kurosaki, K, Echigo, S. Incidence of stenotic lesions predicted by acute phase changes in coronary arterial diameter during Kawasaki disease. Pediatr Cardiol 2005; 26: 7379.CrossRefGoogle ScholarPubMed
10.Dahdah, N, Ibrahim, R, Cannon, L. First recanalization of a coronary artery chronic total obstruction in an 11-year-old child with Kawasaki disease sequelae using the CROSSER catheter. Pediatr Cardiol 2007; 28: 389393.CrossRefGoogle Scholar