Journal of the Korean Pediatric Society 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 Lee, Jong Wan Kim, Kyung Tai Whang
Department of Pediatrics, Catholic University Medical College, Seoul, Korea
정상 체표면 심전도 소견을 보였던 비정형 가와사끼병 환아의 우측관상동맥 폐쇄증 1례
이윤경, 김종완, 황경태
가톨릭대학교 의과대학 소아과학교실
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.
Key Words: Atypical Kawasaki disease, Coronary artery, Aneurysm, Occlusion, Electrocardiogram


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