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“巨中之巨”:一例典型川崎病合并巨大冠状动脉瘤及巨大冠状动脉血栓形成——罕见病例报告

"Giant within a giant": a case of typical Kawasaki disease with a giant coronary aneurysm and a large coronary thrombus - a rare case report.

作者信息

Rajasekharan Sandeep, Kalliath Suneesh, Govindan Sajeev C

机构信息

Department of Cardiology,Government Medical College Kozhikode,Kozhikode,Kerala,India.

出版信息

Cardiol Young. 2018 Jan;28(1):147-149. doi: 10.1017/S1047951117001329. Epub 2017 Aug 24.

Abstract

Kawasaki disease is a febrile vasculitis affecting young children, which may lead to coronary aneurysms. Echocardiography, although sensitive in detecting coronary aneurysms, has a limited role in diagnosing coronary thrombus. Here we report the case of a 10-year-old boy who presented with typical features of Kawasaki disease with giant coronary aneurysms. His follow-up echocardiogram revealed coronary arterial thrombus.

摘要

川崎病是一种影响幼儿的发热性血管炎,可导致冠状动脉瘤。超声心动图虽然在检测冠状动脉瘤方面很敏感,但在诊断冠状动脉血栓方面作用有限。在此,我们报告一例10岁男孩,其表现出川崎病的典型特征及巨大冠状动脉瘤。他的随访超声心动图显示冠状动脉血栓形成。

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