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

• Autores: Milton Alcaino I., Denisse Lama H., Gonzalo Pereira R.
• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 149, Nº. 5, 2021, págs. 803-806
• Idioma: español
• Títulos paralelos:
  • Coronary aneurysm secondary to Kawasaki disease in an adult. Report of one case
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• Resumen

  • 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.