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01.07.2015 | Case Report

Two cases with past Kawasaki disease developing acute myocardial infarction in their thirties, despite being regarded as at low risk for coronary events

verfasst von: Hideki Kawai, Yoko Takakuwa, Hiroyuki Naruse, Masayoshi Sarai, Sadako Motoyama, Hajime Ito, Masatsugu Iwase, Yukio Ozaki

Erschienen in: Heart and Vessels | Ausgabe 4/2015

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Abstract

Two patients after Kawasaki disease (KD) developed acute myocardial infarction in their thirties, though coronary artery follow-up were deemed unnecessary because of apparently angiographic normal coronary arteries in their children more than 1-year after acute KD. Angiographic findings of apparently normal coronary arteries in the late period after acute KD are possible to mislead their prognoses. It should be recognized that coronary aneurysms can often regress in the late period. There is ongoing controversy about the therapeutic strategy in patients whose coronary aneurysms regressed within several years after acute KD. Coronary computed tomography angiography and flow-mediated dilatation might be useful for the detection of mild sequelae of KD non-invasively.

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Titel: Two cases with past Kawasaki disease developing acute myocardial infarction in their thirties, despite being regarded as at low risk for coronary events
verfasst von: Hideki Kawai
Yoko Takakuwa
Hiroyuki Naruse
Masayoshi Sarai
Sadako Motoyama
Hajime Ito
Masatsugu Iwase
Yukio Ozaki
Publikationsdatum: 01.07.2015
Verlag: Springer Japan
Erschienen in: Heart and Vessels / Ausgabe 4/2015
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI: https://doi.org/10.1007/s00380-014-0541-4

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