A patient with coronary complication of Kawasaki disease

Abstract Kawasaki disease or mucucutaneus lymph node syndrome in infants is a febrile disease which occurs before age of 10. Inflammatory coronary disease is a rare and late seqaul in about 1% to 3% of patients and leads to aneurysm and coronary thrombosis in adolescence. This is a report of a 25 year old man who referred to hospital with chest pain and symptoms of acute myocardial infarction. He was admitted to CCU. ECG showed acute anterior MI and he received conventional treatment. Echocardiography in discharge showed 40% of EF with anteroapical LV wall akinesia. Coronary angiography was done and LAD aneurysm with EF about 40% was revealed. CABC and aneurysmectomy was also preformed. Pathologic report was compatible with latent phase of Kawasaki disease.