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Case Report: Late coronary complication of Kawasaki disease

Year: 2025

Type: article

Abstract: Kawasaki disease, a common cause of acquired heart disease in children, can lead to long-term cardiovascular complications such as coronary aneurysms and stenosis. This case describes a 17-year-old male with a past medical history of Kawasaki disease at ages 3 and 8, treated with IV immunoglobulin leading to a moderate right coronary aneurysm, who presented for a cardiac check-up. He reports only a slight dyspnoea on exertion and atypical chest pain. Despite normal findings on routine ECG and exercise tests, advanced imaging revealed significant coronary stenosis requiring angioplasty. This highlights the limitations of standard diagnostic modalities and underscores the importance of multimodal imaging and tailored management strategies in such patients.

Source: Frontiers in Pediatrics

DOI: 10.3389/fped.2025.1527714

Authors: Inès Bucher, Stéphane Cook, Amel Brahim Mathiron

Institution: University of Fribourg

Language: English

Topic: Kawasaki Disease and Coronary Complications

Subfield: Surgery

Field: Medicine

Domain: Health Sciences

SDG: Good health and well-being

Open Access status: gold

Estimated APC paid: $3,801