Khositseth A, Siripornpitak S, Pornkul R, Wanitkun S
Department of Paediatrics, Faculty of Medicine, Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.
Br J Radiol. 2008 Apr;81(964):e106-9. doi: 10.1259/bjr/23978674.
Giant coronary artery aneurysms caused by Kawasaki disease are not common; however, they are one of the most serious complications and can be fatal. Here, we describe a 5-year-old girl with Kawasaki disease who initially had normal coronary arteries. Despite intravenous immunoglobulin, she developed progressive giant coronary artery aneurysms. Echocardiography is a non-invasive tool for imaging the condition but it does have some limitations, whereas selective coronary angiography is the gold standard. However, multidetector CT may be a better non-invasive tool, alternate to invasive catheterized selective coronary angiography, in the long-term follow-up of patients with a giant coronary aneurysm.
川崎病引起的巨大冠状动脉瘤并不常见；然而，它们是最严重的并发症之一，可能会致命。在此，我们描述了一名患有川崎病的5岁女孩，其最初冠状动脉正常。尽管接受了静脉注射免疫球蛋白治疗，但她仍出现了进行性巨大冠状动脉瘤。超声心动图是用于成像该病症的一种非侵入性工具，但它确实存在一些局限性，而选择性冠状动脉造影是金标准。然而，在巨大冠状动脉瘤患者的长期随访中，多排CT可能是一种比侵入性导管选择性冠状动脉造影更好的非侵入性工具。
