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Woven right and aneurysmatic left coronary artery associated with Kawasaki disease in a 9-month-old patient

Published online by Cambridge University Press:  22 March 2010

Ayşe Yıldırım ,
Deniz Oğuz  and
Rana Olguntürk
Ayşe Yıldırım*
Affiliation:
Department of Pediatric Cardiology, Kosuyolu Heart and Research Hospital, Istanbul, Turkey
Deniz Oğuz
Affiliation:
Department of Pediatric Cardiology, Gazi University Medical School, Ankara, Turkey
Rana Olguntürk
Affiliation:
Department of Pediatric Cardiology, Gazi University Medical School, Ankara, Turkey
*
Correspondence to: Ayşe Yıldırım, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Denizer Caddesi Cevizli Kavşağı No: 2, 34846 Kartal/İstanbul, Turkey. Tel: 090 216 4594440; Fax: 090 2164596321; E-mail: ayildirimmd@yahoo.com
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Abstract

Woven coronary artery disease is an extremely rare congenital abnormality with unusual findings of branching thin channels and distal reanastomosis. This pathologic finding was reported earlier in a few adult patients. In Kawasaki disease, coronary arterial system is commonly affected, which causes a necessity of cardiac imaging. We report a 9-month-old infant with Kawasaki disease in which left coronary artery aneurysm and woven right coronary artery were coincidentally detected during coronary angiography. After 1 year, coronary angiogram was re-performed and showed no changes in the coronary arteries. During the follow-up period of 4 years, the patient remained asymptomatic. In Kawasaki disease, there is a tendency for thrombus formation and a woven coronary artery can be easily misinterpreted as a thrombus. Woven coronary artery is a benign condition and it should not be confused with a thrombus or a stenosis related finding which needs a medical or surgical intervention.

Keywords

Coronary artery anomalycoronary artery diseaseinfant
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 3 , June 2010 , pp. 342 - 344
Copyright
Copyright © Cambridge University Press 2010

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References

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