CTICasesCoronary artery aneurysm from childhood Kawasaki disease
Imaging findings
CT shows a focal, calcified, thrombosed aneurysm of an obtuse marginal branch of the left circumflex coronary artery, with a small distal myocardial infarct. Rest of the coronaries are normal.
Key takeaways
Kawasaki disease is a childhood vasculitis that has a predilection for the coronary arteries. Unrecognized cases can present in adulthood as solitary, calcified or thrombosed coronary aneurysms and silent myocardial infarctions.
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