CTICasesKawasaki Disease Coronary Aneurysm
Imaging findings
CT coronary angiogram of a 9-year-old female shows a large, isolated aneurysm of the left anterior descending (LAD) coronary artery with adjacent focal stenosis and wall calcification. The remaining coronaries are normal.
Key takeaways
Coronary artery aneurysms in children or young adults are most commonly due to Kawasaki disease. The long-term prognosis is determined by the development of stenosis, thrombosis, and scarring rather than the aneurysms themselves.
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