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European Heart Journal 1994 15(7):1002-1004;
Copyright © 1994 by the European Society of Cardiology.
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© 1994 The European Society of Cardiology

Myocardial infarction in an adult resulting from coronary ancurysms previously documented in childhood after an acute episode of Kawasaki's disease

G. PONGRATZ*,, R. GANSSER*, K. BACHMANN*, H. SINGER{dagger} and H. WORTH{ddagger}

*Department of Internal Medicine (Cardiology) Fürth, Germany
{dagger}Department of Pediatrics, University of Erlangen-Nuremberg Fürth, Germany
{ddagger}Ist Department of Internal Medicine/Community Hospital Fürth, Germany

Received 29 December 1993; revised 22 February 1994; .

Correspondence Dr Gerhad Pongratz, Medizinische Klink II (Cardiologie), der Universitä Erlangen-Nürnberg, Ostliche StadtmauerstraBe 29, D-91054 Erlangen/Germany

Abstract

Coronary aneurysms resulting from a previous episode of Kawasaki's disease are considered an important cause of myocardial infarction in children. A case of a 19-year-old man presenting with an acute myocardial infarction associated with coronary aneurysms is described. These coronary lesions were previously evaluated angiographically and echocardiographically at the age of 13 years, 5 months after the acute episode of a Kawasaki's disease.

Key Words: Kawasaki's disease • myocardial infarction • coronary artery aneurysm • collateral circulation


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