Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico



Título del documento: Aneurisma coronario secundario a enfermedad de Kawasaki en paciente adulto. Caso Clínico
Revista: lRevista médica de Chile
Base de datos: PERIÓDICA
Número de sistema: 000449446
ISSN: 0034-9887
Autores: 1
2
2
Instituciones: 1Hospital Clínico de Magallanes, Punta Arenas, Magallanes. Chile
2Hospital Dipreca, Santiago de Chile. Chile
Año:
Volumen: 149
Número: 5
Paginación: 803-806
País: Chile
Idioma: Español
Tipo de documento: Artículo
Enfoque: Caso clínico
Resumen en inglés Kawasaki disease (KD) can be a primary cause of an acute coronary syndrome in young adults, with or without a history of KD during childhood. We report a 31year old female, admitted for acute chest pain. She had negative T waves on DIII and AVF leads of the electrocardiogram. Troponins were positive. A cardiac magnetic resonance was compatible with an acute inferior myocardial infarction. In the coronary angiography she had a calcified complete occlusion of the proximal right coronary artery. The left coronary artery had no visible lesions. A computed angiogram showed an extensive calcified and thrombotic aneurysm of the right coronary artery, compatible with Kawasaki disease (KD). The patient was discharged seven days after admission in good conditions
Disciplinas: Medicina
Palabras clave: Sistema cardiovascular,
Adultos,
Enfermedad de Kawasaki,
Secuelas,
Aneurisma coronario
Keyword: Cardiovascular system,
Adults,
Kawasaki disease,
Sequelae,
Coronary aneurism
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