Hausdorf G, Nienaber C A, Spielman R P
Department of Pediatric Cardiology, University of Hamburg, West Germany.
Angiology. 1988 Feb;39(2):174-8. doi: 10.1177/000331978803900208.
The mucocutaneous lymph node syndrome (Kawasaki disease) is of increasing importance for the pediatric cardiologist, for coronary aneurysms with the potential of thrombosis and subsequent stenosis can develop in the course of the disease. The authors report a 2 1/2-year-old female child in whom, fourteen months after the acute phase of Kawasaki disease, myocardial infarction occurred. Biphasic thallium 201 SPECT-imaging using dipyridamole depicted anterior wall ischemia and inferolateral infarction. This case demonstrates that noninvasive vasodilation-redistribution thallium 201 SPECT-imaging has the potential to predict reversible myocardial perfusion defects and myocardial necrosis, even in small infants with Kawasaki disease.
黏膜皮肤淋巴结综合征（川崎病）对于儿科心脏病专家而言愈发重要，因为在该疾病病程中可能会出现有血栓形成及随后狭窄风险的冠状动脉瘤。作者报告了一名2岁半的女童，在川崎病急性期过后14个月发生了心肌梗死。使用双嘧达莫的双相铊201单光子发射计算机断层显像（SPECT）显示前壁缺血和下外侧梗死。该病例表明，即使对于患有川崎病的小婴儿，无创性血管扩张-再分布铊201 SPECT显像也有预测可逆性心肌灌注缺损和心肌坏死的潜力。
