Summary
Two patients clinically diagnosed with Kawasaki disease were found to have a coronary artery to pulmonary artery fistula. The dilemma of deciding the etiology of coronary artery dilatation in these patients is discussed along with management.
Article PDF
Similar content being viewed by others
Avoid common mistakes on your manuscript.
References
Arjunan K, Daniels SR, Meyer RA, Schwartz DC, Barron H, Kaplan S (1986) Coronary artery caliber in normal children and patients with Kawasaki disease but without aneurysms: an echocardiographic and angiographic study.J Am Coll Cardiol 8:1119–1124
Caldwell RL, Ensing GJ (1989) Coronary artery abnormalities in children.J Am Soc Echo 2:259–268
Capannari TE, Daniels SR, Meyer RA, Schwartz DC, Kaplan S (1986) Sensitivity, specificity and predictive value of two-dimensional echocardiography in detecting coronary artery aneurysms in patients with Kawasaki disease.J Am Coll Cardiol 7:355–360
Chung KF, Brandt L, Fulton DR, Kreidberg MB (1982) Cardiac and coronary arterial involvement in infants and children from New England with mucocutaneous lymph node syndrome (Kawasaki disease).Am J Cardiol 50:136–142
Newberger JW, Takahashi M, Beiser AS, et al. (1991) A single intravenous infusion of gammaglobulin as compared with four infusions in the treatment of acute Kawasaki syndrome.N Engl J Med 324:1633–1639
Pahl E, Ettedgui J, Neches WH, Park SC (1989) The value of angiography in the follow-up of coronary involvement in mucocutaneous lymph node syndrome (Kawasaki disease).J Am Coll Cardiol 14:1318–1325
Satomi G, Nakamura K, Narai S, Takao A (1984) Systemic visualization of coronary arteries by two-dimensional echocardiography in children and infants: evaluation in Kawasaki's disease and coronary arteriovenous fistulas.Am Heart J 107:497–505
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Koenig, P.R., Kimball, T.R. & Schwartz, D.C. Coronary artery fistula complicating the evaluation of Kawasaki disease. Pediatr Cardiol 14, 179–180 (1993). https://doi.org/10.1007/BF00795651
Issue Date:
DOI: https://doi.org/10.1007/BF00795651