Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction

Andras Bratincsak; Trudy M Hong; Marian E Melish

doi:10.1016/j.jaccas.2020.11.034

Acute Adult-Onset Kawasaki Disease Complicated by Coronary Artery Aneurysms, Thrombosis, and ST-Segment Elevation Myocardial Infarction

JACC Case Rep. 2021 Feb 10;3(2):276-279. doi: 10.1016/j.jaccas.2020.11.034. eCollection 2021 Feb.

Authors

Andras Bratincsak^{1

2}, Trudy M Hong¹, Marian E Melish^{1

2}

Affiliations

¹ Department of Pediatrics, John A. Burns School of Medicine, University of Hawaii, Honolulu, Hawaii, USA.
² Kapiolani Medical Center for Women and Children, Hawaii Pacific Health, Honolulu, Hawaii, USA.

Abstract

A 21-year-old man who had an initial misdiagnosis of chest wall cellulitis and sepsis presented to the emergency department with chest pain. Electrocardiogram demonstrated ST-segment elevation in the inferior leads. Cardiac catheterization identified diffuse aneurysmal dilation and thrombosis of the distal right coronary artery. Clinical signs were consistent with acute Kawasaki disease. (Level of Difficulty: Intermediate.).

Keywords: CT, computed tomography; ED, emergency department; IVIG, intravenous immunoglobulin; KD, Kawasaki disease; Kawasaki disease; LAD, left anterior descending coronary artery; LVEF, left ventricular ejection fraction; RCA, right coronary artery; STEMI, ST-segment elevation myocardial infarction; coronary aneurysm; myocardial infarction.

Publication types

Case Reports