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Intravascular ultrasound findings of coronary wall morphology in a child with Kawasaki disease

Title
Intravascular ultrasound findings of coronary wall morphology in a child with Kawasaki disease
Authors
Sohn S.Kim H.S.Jeon S.H.Park S.H.
Ewha Authors
박성훈김혜순손세정
SCOPUS Author ID
박성훈scopus; 김혜순scopus; 손세정scopus
Issue Date
2001
Journal Title
Journal of Korean Medical Science
ISSN
1011-8934JCR Link
Citation
vol. 16, no. 5, pp. 661 - 663
Indexed
SCI; SCIE; SCOPUS; KCI WOS scopus
Abstract
Intravascular ultrasound (IVUS) imaging was performed to assess the coronary wall morphology in detail at 22 months after the onset of Kawasaki disease in a girl who had developed coronary aneurysms at 4 yr of age. The sites of persistent aneurysms demonstrated a dilated lumen with a marked symmetrical or asymmetrical thickening of the intima-media complex. This pathologic finding was also present in angiographically normal vessels near an aneurysm but with a mild thickening. Coronary artery calcification was observed at one site in the aneurysms. The sites of normal coronary artery far from an aneurysm showed normal intravascular ultrasound findings with no measurable intima-media complex. Our case indicates that the healing process may continue via cell proliferation, with extension to the proximity of the coronary aneurysms. IVUS is useful to evaluate the coronary wall morphology and may be valuable in the long-term follow-up of coronary lesions due to Kawasaki disease. Copyright © The Korean Academy of Medical Sciences.
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의학전문대학원 > 의학과 > Journal papers
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