Hostname: page-component-586b7cd67f-rcrh6 Total loading time: 0 Render date: 2024-11-28T08:14:30.653Z Has data issue: false hasContentIssue false
  • English
  • Français

Woven right and aneurysmatic left coronary artery associated with Kawasaki disease in a 9-month-old patient

Published online by Cambridge University Press:  22 March 2010

Ayşe Yıldırım ,
Deniz Oğuz  and
Rana Olguntürk
Ayşe Yıldırım*
Affiliation:
Department of Pediatric Cardiology, Kosuyolu Heart and Research Hospital, Istanbul, Turkey
Deniz Oğuz
Affiliation:
Department of Pediatric Cardiology, Gazi University Medical School, Ankara, Turkey
Rana Olguntürk
Affiliation:
Department of Pediatric Cardiology, Gazi University Medical School, Ankara, Turkey
*
Correspondence to: Ayşe Yıldırım, Kartal Koşuyolu Yüksek İhtisas Eğitim ve Araştırma Hastanesi, Denizer Caddesi Cevizli Kavşağı No: 2, 34846 Kartal/İstanbul, Turkey. Tel: 090 216 4594440; Fax: 090 2164596321; E-mail: [email protected]
Get access Rights & Permissions [Opens in a new window]

Abstract

Woven coronary artery disease is an extremely rare congenital abnormality with unusual findings of branching thin channels and distal reanastomosis. This pathologic finding was reported earlier in a few adult patients. In Kawasaki disease, coronary arterial system is commonly affected, which causes a necessity of cardiac imaging. We report a 9-month-old infant with Kawasaki disease in which left coronary artery aneurysm and woven right coronary artery were coincidentally detected during coronary angiography. After 1 year, coronary angiogram was re-performed and showed no changes in the coronary arteries. During the follow-up period of 4 years, the patient remained asymptomatic. In Kawasaki disease, there is a tendency for thrombus formation and a woven coronary artery can be easily misinterpreted as a thrombus. Woven coronary artery is a benign condition and it should not be confused with a thrombus or a stenosis related finding which needs a medical or surgical intervention.

Keywords

Coronary artery anomalycoronary artery diseaseinfant
Type
Brief Reports
Information
Cardiology in the Young , Volume 20 , Issue 3 , June 2010 , pp. 342 - 344
Copyright
Copyright © Cambridge University Press 2010

Access options

Get access to the full version of this content by using one of the access options below. (Log in options will check for institutional or personal access. Content may require purchase if you do not have access.)

References

1. Gregorini, L, Perondi, R, Pomidossi, G, Saino, A, Bossi, IM, Zanchetti, A. Woven left coronary artery disease. Am J Cardiol 1995; 75: 311–312.CrossRefGoogle ScholarPubMed
2. Martuscelli, E, Romeo, F, Giovannini, M, Nigri, A. Woven coronary artery: differential diagnosis with diffuse intracoronary thrombosis. Ital Heart J 2000; 1: 306–307.Google ScholarPubMed
3. Kursaklioglu, H, Iyisoy, A, Celik, T. Woven coronary artery: a case report and review of literature. Int J Cardiol 2006; 113: 121–123.CrossRefGoogle ScholarPubMed
4. Newburger, JW, Takahashi, M, Gerber, MA, Gewitz, MH, Tani, LY, Burns, JC. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the committee on rheumatic fever, endocarditis and Kawasaki disease, council on cardiovascular disease in the young, American Heart Association. Circulation 2004; 110: 2747–2771.CrossRefGoogle Scholar
5. Sane, DC, Vidaillet, JH Jr. Woven right coronary artery: a previously undescribed congenital anomaly. Am J Cardiol 1988; 61: 1158.CrossRefGoogle ScholarPubMed