Tsuda Etsuko, Singhal Manphool
Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka, Japan.
Department of Radiodiagnosis and Imaging, Post Graduate Institute of Medical Education and Research, Chandigarh, India.
Int J Rheum Dis. 2018 Jan;21(1):56-63. doi: 10.1111/1756-185X.13210. Epub 2017 Nov 8.
Kawasaki disease is a medium vessel vasculitis which may be associated with coronary artery abnormalities. Recognition of these abnormalities depends upon various imaging modalities. While two-dimensional echocardiography remains the first line modality to identify coronary artery abnormalities, it is subject to several fallacies and is operator dependent. Computed tomography coronary angiography is rapidly emerging as a useful imaging modality for better characterization of dilatations, ectasia and aneurysms in the mid- and distal segments of coronary arteries. It provides precise details in terms of aneurysm size and morphology. In this review we here described the importance of computed tomography coronary angiography and have also given a brief description of magnetic resonance coronary angiography.
川崎病是一种可伴有冠状动脉异常的中等血管血管炎。对这些异常的识别依赖于多种成像方式。虽然二维超声心动图仍是识别冠状动脉异常的一线方式，但它存在一些误区且依赖操作者。计算机断层扫描冠状动脉造影正迅速成为一种有用的成像方式，可更好地对冠状动脉中、远端节段的扩张、瘤样扩张和动脉瘤进行特征描述。它能提供关于动脉瘤大小和形态的精确细节。在本综述中，我们描述了计算机断层扫描冠状动脉造影的重要性，并简要介绍了磁共振冠状动脉造影。
