Mavrogeni Sophie, Papadopoulos George, Karanasios Evangelos, Cokkinos Dennis V
Onassis Cardiac Surgery Center, Athens, Greece.
Int J Cardiol. 2008 Feb 20;124(1):27-31. doi: 10.1016/j.ijcard.2007.02.035. Epub 2007 Apr 16.
Kawasaki disease contributes to coronary artery aneurysm in 25% of patients. Cardiovascular imaging has an important role in diagnosis and follow-up of these cases. Echocardiography is the bedside technique of choice during the acute phase of the disease. MRI can be a valuable tool especially in adolescents, where sometimes echocardiography fails to detect coronary abnormalities and it has also the advantage of simultaneous perfusion, function and viability evaluation. If MRI is not available, a combination of echocardiography and SPECT gives an overview of anatomy, function and perfusion. MSCT is of limited value for follow-up because of radiation and the misleading data due to coronary calcifications. X-ray coronary angiography is kept mainly for cases where an invasive procedure should be performed.
川崎病在25%的患者中会导致冠状动脉瘤。心血管成像在这些病例的诊断和随访中起着重要作用。超声心动图是疾病急性期的首选床边检查技术。磁共振成像（MRI）可能是一种有价值的工具，尤其对于青少年，有时超声心动图无法检测到冠状动脉异常，而且它还具有同时评估灌注、功能和生存能力的优势。如果没有MRI，超声心动图和单光子发射计算机断层扫描（SPECT）相结合可提供解剖结构、功能和灌注的概况。由于辐射以及冠状动脉钙化导致的数据误导，多层螺旋CT（MSCT）在随访中的价值有限。X线冠状动脉造影主要用于需要进行侵入性检查的病例。
