Two cases with past Kawasaki disease developing acute myocardial infarction in their thirties, despite being regarded as at low risk for coronary events

Hideki Kawai, Yoko Takakuwa, Hiroyuki Naruse, Masayoshi Sarai, Sadako Motoyama, Hajime Ito, Masatsugu Iwase, Yukio Ozaki

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Two patients after Kawasaki disease (KD) developed acute myocardial infarction in their thirties, though coronary artery follow-up were deemed unnecessary because of apparently angiographic normal coronary arteries in their children more than 1-year after acute KD. Angiographic findings of apparently normal coronary arteries in the late period after acute KD are possible to mislead their prognoses. It should be recognized that coronary aneurysms can often regress in the late period. There is ongoing controversy about the therapeutic strategy in patients whose coronary aneurysms regressed within several years after acute KD. Coronary computed tomography angiography and flow-mediated dilatation might be useful for the detection of mild sequelae of KD non-invasively.

Original languageEnglish
Pages (from-to)549-553
Number of pages5
JournalHeart and Vessels
Issue number4
Publication statusPublished - 01-07-2015


All Science Journal Classification (ASJC) codes

  • Cardiology and Cardiovascular Medicine

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