Pfafferott C, Wirtzfeld A, Permanetter B
I Medical Department, City Hospital, Ingolstadt, Germany.
Heart. 1997 Dec;78(6):619-21. doi: 10.1136/hrt.78.6.619.
A 20 year old woman with acute myocardial infarction exhibited a huge aneurysm of the left main coronary artery that was occluded by a large intraluminal thrombus. After exclusion of other vascular or systemic diseases, atypical Kawasaki syndrome was diagnosed. Other major symptoms usually required for this diagnosis were absent. As patients with Kawasaki syndrome in childhood are surviving longer, acute coronary symptoms may occur in young adults, and coronary aneurysms might be the only symptom of atypical Kawasaki syndrome.
一名20岁急性心肌梗死女性患者表现出左主干冠状动脉巨大动脉瘤，管腔内有一个大血栓将其阻塞。排除其他血管或全身性疾病后，诊断为非典型川崎病综合征。该诊断通常所需的其他主要症状并不存在。由于儿童期川崎病综合征患者的存活时间更长，急性冠状动脉症状可能在年轻人中出现，冠状动脉瘤可能是非典型川崎病综合征的唯一症状。
