Mollica N
Divisione di Cardiologia, Ospedale Pediatrico Giovanni XXIII, USL BA/11, Bari.
Minerva Cardioangiol. 1994 Dec;42(12):599-604.
Some cases of coronary aneurysms studied echocardiographically in children suffering from Kawasaki's disease are reported. In the fourth case, bidimensional echocardiography highlighted a uniform dilatation of the right and left coronary proximal segments which had retreated at subsequent controls. In the third case, echocardiogram clearly showed large aneurysms in the common trunk of the left coronary artery, in the left circumflex artery and in the anterior interventricular artery. In other cases, the echocardiogram pointed to the presence of proximal and distal coronary aneurysms whose course it was possible to follow. Stress is laid on the usefulness of dimensional echocardiographic examination in the non-invasive diagnosis of coronary aneurysms in Kawasaki's disease.
本文报告了一些通过超声心动图研究的川崎病患儿冠状动脉瘤病例。在第四例中，二维超声心动图显示左右冠状动脉近端节段均匀扩张，后续检查时有所退缩。在第三例中，超声心动图清晰显示左冠状动脉总干、左旋支动脉和前室间动脉存在大的动脉瘤。在其他病例中，超声心动图显示存在冠状动脉近端和远端动脉瘤，并可追踪其病程。强调了二维超声心动图检查在川崎病冠状动脉瘤无创诊断中的作用。
