Circulation Journal
Online ISSN : 1347-4820
Print ISSN : 1346-9843
ISSN-L : 1346-9843
Clinical Investigation
Detection of Coronary Artery Aneurysms, Stenoses and Occlusions by Multislice Spiral Computed Tomography in Adolescents With Kawasaki Disease
Yuichi Sato, Masahiko Kato, Fumio Inoue, Takahiro Fukui, Takako Imazeki, Masayasu Mitsui, Naoya Matsumoto, Motoichiro Takahashi, Kensuke Karasawa, Mamoru Ayusawa, Hiroshi Kanamaru, Kensuke Harada, Katsuo Kanmatsuse
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Keywords: Coronary artery aneurysm, Kawasaki disease, Multislice spiral computed tomography (MSCT)
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2003 Volume 67 Issue 5 Pages 427-430

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Abstract

In patients with Kawasaki disease (KD), serial evaluation of coronary artery aneurysms (CAAs) and luminal narrowing is essential for risk stratification and therapeutic management. Therefore, non-invasive assessment of the status of the coronary artery is of utmost importance in patient management. Multislice spiral computed tomography (MSCT) permits non-invasive visualization of the entire coronary artery system and was used in the evaluation of 4 patients with KD. CAAs and high-grade coronary artery stenoses were detected by MSCT and corroborated the findings of coronary angiograms performed within the previous 2 years. MSCT has the potential to be the standard diagnostic tool in adolescents with KD. (Circ J 2003; 67: 427 - 430)

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© 2003 THE JAPANESE CIRCULATION SOCIETY
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