Detection of Coronary Artery Aneurysms, Stenoses and Occlusions by Multislice Spiral Computed Tomography in Adolescents With Kawasaki Disease

Yuichi Sato; Masahiko Kato; Fumio Inoue; Takahiro Fukui; Takako Imazeki; Masayasu Mitsui; Naoya Matsumoto; Motoichiro Takahashi; Kensuke Karasawa; Mamoru Ayusawa; Hiroshi Kanamaru; Kensuke Harada; Katsuo Kanmatsuse

doi:10.1253/circj.67.427

Clinical Investigation

Detection of Coronary Artery Aneurysms, Stenoses and Occlusions by Multislice Spiral Computed Tomography in Adolescents With Kawasaki Disease

Yuichi Sato, Masahiko Kato, Fumio Inoue, Takahiro Fukui, Takako Imazeki, Masayasu Mitsui, Naoya Matsumoto, Motoichiro Takahashi, Kensuke Karasawa, Mamoru Ayusawa, Hiroshi Kanamaru, Kensuke Harada, Katsuo Kanmatsuse

Author information

Yuichi Sato
Departments of Cardiology
Masahiko Kato
Departments of Cardiology
Fumio Inoue
Departments of Cardiology
Takahiro Fukui
Departments of Cardiology
Takako Imazeki
Departments of Cardiology
Masayasu Mitsui
Departments of Cardiology
Naoya Matsumoto
Departments of Cardiology
Motoichiro Takahashi
Radiology, Nihon University Surugadai Hospital
Kensuke Karasawa
Department of Pediatrics, Nihon University School of Medicine
Mamoru Ayusawa
Department of Pediatrics, Nihon University School of Medicine
Hiroshi Kanamaru
Department of Pediatrics, Nihon University School of Medicine
Kensuke Harada
Department of Pediatrics, Nihon University School of Medicine
Katsuo Kanmatsuse
Departments of Cardiology

Keywords: Coronary artery aneurysm, Kawasaki disease, Multislice spiral computed tomography (MSCT)

JOURNAL FREE ACCESS

2003 Volume 67 Issue 5 Pages 427-430

DOI https://doi.org/10.1253/circj.67.427

Details

Abstract

In patients with Kawasaki disease (KD), serial evaluation of coronary artery aneurysms (CAAs) and luminal narrowing is essential for risk stratification and therapeutic management. Therefore, non-invasive assessment of the status of the coronary artery is of utmost importance in patient management. Multislice spiral computed tomography (MSCT) permits non-invasive visualization of the entire coronary artery system and was used in the evaluation of 4 patients with KD. CAAs and high-grade coronary artery stenoses were detected by MSCT and corroborated the findings of coronary angiograms performed within the previous 2 years. MSCT has the potential to be the standard diagnostic tool in adolescents with KD. (Circ J 2003; 67: 427 - 430)

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