Adolescent Kawasaki Disease patient with coronary calcifications, severe 4-vessel stenosis, and a normal stress MRI

Todd T. Nowlen; Luis F. Goncalves; Susan S. Park; Arash A. Sabati; Todd T. Nowlen; Luis F. Goncalves; Susan S. Park; Arash A. Sabati

doi:10.3934/medsci.2025003

AIMS Medical Science

2025, Volume 12, Issue 1: 28-37. doi: 10.3934/medsci.2025003

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Case report

Adolescent Kawasaki Disease patient with coronary calcifications, severe 4-vessel stenosis, and a normal stress MRI

1.
Phoenix Childrens, University of Arizona, Heart Center, Phoenix, Arizona, USA
2.
Phoenix Childrens, University of Arizona, Radiology, Phoenix, Arizona, USA

Received: 30 June 2024 Revised: 05 November 2024 Accepted: 25 November 2024 Published: 11 February 2025

Kawasaki Disease is associated with early and late coronary abnormalities. Coronary calcifications have been noted on long-term follow ups in the region of the initial abnormalities. We present the first case of an asymptomatic adolescent with Kawasaki Disease and normal stress testing in whom the coronary calcium was associated with severe four vessel narrowing.
- Kawasaki,
- calcification,
- MRI,
- CT,
- giant aneurysm
Citation: Todd T. Nowlen, Luis F. Goncalves, Susan S. Park, Arash A. Sabati. Adolescent Kawasaki Disease patient with coronary calcifications, severe 4-vessel stenosis, and a normal stress MRI[J]. AIMS Medical Science, 2025, 12(1): 28-37. doi: 10.3934/medsci.2025003

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Abstract

Kawasaki Disease is associated with early and late coronary abnormalities. Coronary calcifications have been noted on long-term follow ups in the region of the initial abnormalities. We present the first case of an asymptomatic adolescent with Kawasaki Disease and normal stress testing in whom the coronary calcium was associated with severe four vessel narrowing.

Ethics approval of research and informed consent

This case report was approved by the Phoenix Childrens IRB: # IRB-24-184. The Phoenix Children's IRB does not require patient's parents' consent for a case report.

Conflict of interest

The authors declare no conflict of interest.

References

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