Clinical and Experimental Pediatrics

The Korean Pediatric Society (대한소아청소년과학회)
권호 표지
DOI QR코드

DOI QR Code

Giant coronary aneurysm caused by Kawasaki disease: consistency between catheter angiography and electrocardiogram gated dualsource computed tomography angiography

  • Hwang, Eun-Ha (Department of Pediatrics, Pusan National University Hospital) ;
  • Ju, Jung-Ki (Department of Pediatrics, Good Gang-An Hospital) ;
  • Cho, Min-Jung (Department of Pediatrics, Pusan National University Hospital) ;
  • Lee, Ji-Won (Department of Radiology, Pusan National University Hospital) ;
  • Lee, Hyoung-Doo (Department of Pediatrics, Pusan National University Children's Hospital)
  • Received : 2013.09.09
  • Accepted : 2013.11.18
  • Published : 2015.12.10
Download PDF
⟨ Previous Next ⟩

Abstract

We present the case of a 5-year-old child with coronary complications due to Kawasaki disease; this patient unintentionally underwent both dual-source computed tomography (DSCT) coronary angiography and invasive coronary angiographic examination in 2 months. This case highlights the strong consistency of the results between DSCT coronary angiography and invasive coronary angiography. Compared to conventional invasive coronary angiography, DSCT coronary angiography offered additional advantages such as minimal invasiveness and less radiation exposure.

Keywords

References

  1. Cantin L, Chartrand-Lefebvre C, Marcotte F, Pressacco J, Ducharme A, Lapierre C. Coronary artery noninvasive imaging in adult Kawasaki disease. Clin Imaging 2009;33:181-7. https://doi.org/10.1016/j.clinimag.2008.09.008
  2. Duan Y, Wang X, Cheng Z, Wu D, Wu L. Application of prospective ECG-triggered dual-source CT coronary angiography for infants and children with coronary artery aneurysms due to Kawasaki disease. Br J Radiol 2012;85:e1190-7. https://doi.org/10.1259/bjr/18174517
  3. Peng Y, Zeng J, Du Z, Sun G, Guo H. Usefulness of 64-slice MDCT for follow-up of young children with coronary artery aneurysm due to Kawasaki disease: initial experience. Eur J Radiol 2009;69: 500-9. https://doi.org/10.1016/j.ejrad.2007.11.024
  4. Jang GY. Cardiovascular complications after Kawasaki disease and its management. Korean J Pediatr 2008;51:462-7. https://doi.org/10.3345/kjp.2008.51.5.462
  5. Xing Y, Wang H, Yu X, Chen R, Hou Y. Assessment of coronary artery lesions in children with Kawasaki disease: evaluation of MSCT in comparison with 2-D echocardiography. Pediatr Radiol 2009;39:1209-15. https://doi.org/10.1007/s00247-009-1364-9
  6. Carbone I, Cannata D, Algeri E, Galea N, Napoli A, De Zorzi A, et al. Adolescent Kawasaki disease: usefulness of 64-slice CT coronary angiography for follow-up investigation. Pediatr Radiol 2011;41: 1165-73. https://doi.org/10.1007/s00247-011-2141-0
  7. Huang B, Law MW, Mak HK, Kwok SP, Khong PL. Pediatric 64-MDCT coronary angiography with ECG-modulated tube current: radiation dose and cancer risk. AJR Am J Roentgenol 2009;193: 539-44. https://doi.org/10.2214/AJR.08.1920
  8. Mavrogeni S, Papadopoulos G, Karanasios E, Cokkinos DV. How to image Kawasaki disease: a validation of different imaging techniques. Int J Cardiol 2008;124:27-31. https://doi.org/10.1016/j.ijcard.2007.02.035
  9. Fujii K, Aoyama T, Koyama S, Kawaura C. Comparative evaluation of organ and effective doses for paediatric patients with those for adults in chest and abdominal CT examinations. Br J Radiol 2007; 80:657-67. https://doi.org/10.1259/bjr/97260522
  10. Einstein AJ, Henzlova MJ, Rajagopalan S. Estimating risk of cancer associated with radiation exposure from 64-slice computed tomography coronary angiography. JAMA 2007;298:317-23. https://doi.org/10.1001/jama.298.3.317
  11. Einstein AJ, Sanz J, Dellegrottaglie S, Milite M, Sirol M, Henzlova M, et al. Radiation dose and cancer risk estimates in 16-slice computed tomography coronary angiography. J Nucl Cardiol 2008;15: 232-40. https://doi.org/10.1016/j.nuclcard.2007.09.028
  12. Coles DR, Smail MA, Negus IS, Wilde P, Oberhoff M, Karsch KR, et al. Comparison of radiation doses from multislice computed tomography coronary angiography and conventional diagnostic angiography. J Am Coll Cardiol 2006;47:1840-5. https://doi.org/10.1016/j.jacc.2005.11.078
  13. Earls JP, Berman EL, Urban BA, Curry CA, Lane JL, Jennings RS, et al. Prospectively gated transverse coronary CT angiography versus retrospectively gated helical technique: improved image quality and reduced radiation dose. Radiology 2008;246:742-53. https://doi.org/10.1148/radiol.2463070989
  14. Kanamaru H, Sato Y, Takayama T, Ayusawa M, Karasawa K, Sumitomo N, et al. Assessment of coronary artery abnormalities by multislice spiral computed tomography in adolescents and young adults with Kawasaki disease. Am J Cardiol 2005;95:522-5. https://doi.org/10.1016/j.amjcard.2004.10.011