Kádár K, Piskóthy A, Bendig L
Országos Kardiológiai Intézet, Budapest.
Orv Hetil. 1993 Oct 31;134(44):2431-3.
We report the case of a 3 yrs old boy with the most serious complication of Kawasaki disease. 2 dimensional echocardiography detected multiple coronary aneurysms and in the giant left coronary aneurysm a thrombus formation. The thrombus disappeared after one week anticoagulant therapy. In addition the aneurysm were proved by coronarography. During the 2 years follow-up period the child is on anticoagulant therapy and he is symptom free. This is the first case in our country with a huge thrombus in a giant coronary aneurysm due to Kawasaki disease who was successfully treated using anticoagulant therapy.
我们报告了一名3岁男孩患川崎病最严重并发症的病例。二维超声心动图检测到多个冠状动脉瘤,在巨大的左冠状动脉瘤中有血栓形成。经过一周的抗凝治疗后血栓消失。此外,冠状动脉造影证实了动脉瘤的存在。在2年的随访期内,该患儿接受抗凝治疗,且无症状。这是我国首例因川崎病导致巨大冠状动脉瘤内出现巨大血栓并通过抗凝治疗成功治愈的病例。