Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico

Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico

Kawasaki disease (KD) can be a primary cause of an acute coronary syndrome in young adults, with or without a history of KD during childhood. We report a 31year old female, admitted for acute chest pain. She had negative T waves on DIII and AVF leads of the electrocardiogram. Troponins were positive. A cardiac magnetic resonance was compatible with an acute inferior myocardial infarction. In the coronary angiography she had a calcified complete occlusion of the proximal right coronary artery. The left coronary artery had no visible lesions. A computed angiogram showed an extensive calcified and thrombotic aneurysm of the right coronary artery, compatible with Kawasaki disease (KD). The patient was discharged seven days after admission in good conditions.

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Main Authors: Alcaíno I.,Milton, Lama H.,Denisse, Pereira R.,Gonzalo
Format: Digital revista
Language:Spanish / Castilian
Published: Sociedad Médica de Santiago 2021
Online Access:http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500803
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spelling oai:scielo:S0034-988720210005008032021-11-03Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso ClínicoAlcaíno I.,MiltonLama H.,DenissePereira R.,Gonzalo Aneurysm Coronary Vessels Mucocutaneous Lymph Node Syndrome Kawasaki disease (KD) can be a primary cause of an acute coronary syndrome in young adults, with or without a history of KD during childhood. We report a 31year old female, admitted for acute chest pain. She had negative T waves on DIII and AVF leads of the electrocardiogram. Troponins were positive. A cardiac magnetic resonance was compatible with an acute inferior myocardial infarction. In the coronary angiography she had a calcified complete occlusion of the proximal right coronary artery. The left coronary artery had no visible lesions. A computed angiogram showed an extensive calcified and thrombotic aneurysm of the right coronary artery, compatible with Kawasaki disease (KD). The patient was discharged seven days after admission in good conditions.info:eu-repo/semantics/openAccessSociedad Médica de SantiagoRevista médica de Chile v.149 n.5 20212021-05-01text/htmlhttp://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500803es10.4067/s0034-98872021000500803
institution SCIELO
collection OJS
country Chile
countrycode CL
component Revista
access En linea
databasecode rev-scielo-cl
tag revista
region America del Sur
libraryname SciELO
language Spanish / Castilian
format Digital
author Alcaíno I.,Milton
Lama H.,Denisse
Pereira R.,Gonzalo
spellingShingle Alcaíno I.,Milton
Lama H.,Denisse
Pereira R.,Gonzalo
Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico
author_facet Alcaíno I.,Milton
Lama H.,Denisse
Pereira R.,Gonzalo
author_sort Alcaíno I.,Milton
title Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico
title_short Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico
title_full Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico
title_fullStr Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico
title_full_unstemmed Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico
title_sort aneurisma coronario secundario a enfermedad de kawasaki en paciente adulto. caso clínico
description Kawasaki disease (KD) can be a primary cause of an acute coronary syndrome in young adults, with or without a history of KD during childhood. We report a 31year old female, admitted for acute chest pain. She had negative T waves on DIII and AVF leads of the electrocardiogram. Troponins were positive. A cardiac magnetic resonance was compatible with an acute inferior myocardial infarction. In the coronary angiography she had a calcified complete occlusion of the proximal right coronary artery. The left coronary artery had no visible lesions. A computed angiogram showed an extensive calcified and thrombotic aneurysm of the right coronary artery, compatible with Kawasaki disease (KD). The patient was discharged seven days after admission in good conditions.
publisher Sociedad Médica de Santiago
publishDate 2021
url http://www.scielo.cl/scielo.php?script=sci_arttext&pid=S0034-98872021000500803
work_keys_str_mv AT alcainoimilton aneurismacoronariosecundarioaenfermedaddekawasakienpacienteadultocasoclinico
AT lamahdenisse aneurismacoronariosecundarioaenfermedaddekawasakienpacienteadultocasoclinico
AT pereirargonzalo aneurismacoronariosecundarioaenfermedaddekawasakienpacienteadultocasoclinico
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