All issues > Volume 39(3); 1996

Case Report

J Korean Pediatr Soc. 1996;39(3):411-416. Published online March 15, 1996.

Abstract= A Case of Right Coronary Arterial Occlusion with Normal Electrocardiogram in Atypical Kawasaki Diseases

Yoon Kyung YK Lee¹, Jong Wan JW Kim¹, Kyung Tai KT Whang¹

¹Department of Pediatrics, Catholic University Medical College, Seoul, Korea

Abstract

Kawasaki disease is an acute febrile illness of unknown etiology that occurs predominantly in infants and early childhood. It had aroused intense interest because of the sequelae of coronary arteritis accompanied by coronary artery aneurysms and thrombotic occlusion, which may lead to ischemic heart disease or sudden death. Atypical Kawasaki disease is coined to describe patients who have coronary abnormalities, pathognomic findings of Kawasaki disease, but who do not exhibit at least four criteria of the disease. Giant coronary arterial aneurysm is a very rare complication after atypical Kawasaki disease, and in cases of coronary occlusion, the surface electrocardiograms usually show common ischemic changes. We report a case of right coronary arterial occlusion complicated after atypical Kawasaki disease. During 12 months, the serial electrocardiograms showed no evidence of ischemia, but coronary angiography disclosed giant aneurysms accompanied with occlusion and several collaterals in right side.

Keywords :Atypical Kawasaki disease, Coronary artery, Aneurysm, Occlusion, Electrocardiogram