Biphasic Thallium 201 Spect-Imaging for the Noninvasive Diagnosis of Myocardial Perfusion Abnormalities in a Child with Kawasaki Disease--A Case Report

Hausdorf, Gerd; Nienaber, Christoph Anton; Spielman, Rolf Peter
February 1988
Angiology;Feb1988, Vol. 39 Issue 2, p174
Academic Journal
The mucocutaneous lymph node syndrome (Kawasaki disease) is of increasing importance for the pediatric cardiologist, for coronary aneurysms with the potential of thrombosis and subsequent stenosis can develop in the course of the disease. The authors report a 2�-year-old female child in whom, fourteen months after the acute phase of Kawasaki disease, myocardial infarction occurred. Biphasic thallium 201 SPECT-imaging using dipyridamole depicted anterior wall ischemia and inferolateral infarction. This case demonstrates that noninvasive vasodilation-redistribution thallium 201 SPECT-imaging has the potential to predict reversible myocardial perfusion defects and myocardial necrosis, even in small infants with Kawasaki disease.


Related Articles

  • Two Young Adults Who Had Acute Coronary Syndrome after Regression of Coronary Aneurysms Caused by Kawasaki Disease in Infancy. Tsuda, E.; Hanatani, A.; Kurosaki, K.; Naito, H.; Echigo, S. // Pediatric Cardiology;May2006, Vol. 27 Issue 3, p372 

    We report two young adult patients who had acute coronary syndrome after regression of coronary aneurysms caused by Kawasaki disease (KD). A 26 year-old man had acute anterior myocardial infarction at midnight after drinking alcohol. He had had bilateral coronary aneurysms caused by KD at the...

  • Should Infliximab be Used as an Adjuvant to IVIG in the Treatment of Children With Kawasaki Disease Who Are at High Risk for Resistance to Conventional Therapy? Davies, Shelby; Gold-von Simson, Gabrielle // Pediatric Cardiology;Oct2013, Vol. 34 Issue 7, p1756 

    A letter to the editor is presented in response to the article "Extensive Coronary Aneurysms with Thrombosis in Resistant Kawasaki Disease," by K. Sivakumar and S. Pavithran in the 2013 issue.

  • Acute Myocardial Infarction during the Subacute Phase of Refractory and Incomplete Kawasaki Disease in a Five-year-old Boy. Chul Jin; Yeo Hyang Kim; Hyung Seop Kim // Korean Journal of Critical Care Medicine;Feb2014, Vol. 29 Issue 1, p23 

    Kawasaki disease (KD) is an acute, systemic vasculitis of childhood. The early mortality of KD results from coronary complications, mainly aneurysmal thrombosis with myocardial infarction, and the subacute phase of KD has the highest risk of mortality. Although there have been reports of...

  • Giant Coronary-Artery Aneurysm in Kawasaki's Disease. Porter, Graeme F.; Gentles, Thomas L. // New England Journal of Medicine;7/12/2001, Vol. 345 Issue 2, p98 

    Reports on a case study of a girl who was diagnosed with Kawasaki's disease and had a posterior myocardial infarction. Transthoracic echocardiography, which demonstrated a giant aneurysm involving the left main coronary artery; Findings from exercise testing, a chest film, and selective...

  • Thrombus in a Coronary Artery Aneurysm Shortly After Warfarin Withdrawal. Alloul, Sophie; Dahdah, Nagib; Miró, Joaquim // Pediatric Cardiology;Feb2009, Vol. 30 Issue 2, p188 

    This report describes the rapid buildup of an intraluminal thrombus and secondary myocardial ischemia after a brief therapeutic withdrawal of warfarin in a case of Kawasaki-related chronic giant coronary aneurysm. The importance of tight antithrombotic control in such cases is underscored.

  • Giant coronary aneurysms developed in a child of Kawasaki disease with only 3 days of fever. Ming-Chih Lin; Chun-Ming Hsu; Yun-Ching Fu // Cardiology in the Young;Jun2010, Vol. 20 Issue 3, p339 

    Prolonged fever, 5 days or more, is the cardinal feature of Kawasaki disease. We described a 5-yearold boy with initial presentations of fever, conjunctivitis, and strawberry tongue. The fever only lasted for 3 days. However, giant coronary aneurysms developed later. This patient reminds us that...

  • Woven right and aneurysmatic left coronary artery associated with Kawasaki disease in a 9-month-old patient. Yıldırım, Ayşe; ğguz, Deniz; Olguntürk, Rana // Cardiology in the Young;Jun2010, Vol. 20 Issue 3, p342 

    Woven coronary artery disease is an extremely rare congenital abnormality with unusual findings of branching thin channels and distal reanastomosis. This pathologic finding was reported earlier in a few adult patients. In Kawasaki disease, coronary arterial system is commonly affected, which...

  • Myocardial infarction in a 17-year-old patient due to neurofibromatosis-associated coronary aneurysm. Evrengul, Harun; Kilic, Dogu I.; Zungur, Mustafa; Alihanoglu, Yusuf I.; Tanriverdi, Halil // Cardiology in the Young;Jun2013, Vol. 23 Issue 3, p454 

    Neurofibromatosis is an autosomal dominant multi-system genetic disorder. Extra-cardiac vascular manifestations of neurofibromatosis have been previously described in many reports. However, coronary arterial involvements have been rarely described. A 17-year-old girl with neurofibromatosis...

  • Coronary Aneurysm in Kawasaki Disease. Shyh-Jye Chen; Mei-Hwan Wu // Mayo Clinic Proceedings;Mar2007, Vol. 82 Issue 3, p271 

    The article presents a study the investigates coronary aneurysm as a major complication of Kawasaki disease. Based on the illustrated case study which involves a 17-year-old boy who was diagnosed to have a such complication, the authors found that coronary aneurysm may cause myocardial...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics