Thoracoabdominal and coronary arterial aneurysms in a young man with a history of Kawasaki disease Mladen Petrunić, MD, PhD, Nikša Drinković, MD, PhD,

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Presentation transcript:

Thoracoabdominal and coronary arterial aneurysms in a young man with a history of Kawasaki disease Mladen Petrunić, MD, PhD, Nikša Drinković, MD, PhD, Ranka Štern-Padovan, MD, PhD, Tomislav Meštrović, MD, Danijel Lovrić, MD Journal of Vascular Surgery Volume 50, Issue 5, Pages 1173-1176 (November 2009) DOI: 10.1016/j.jvs.2009.05.025 Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 1 Left, Sagittal multiplanar reconstruction (MPR) of an average contrast-enhanced computed tomography (CT) scan through the thoracoabdominal aorta. Upper right, Oblique MPR average contrast-enhanced CT at the level of the coronary arteries shows calcified walls of both coronary arteries (arrowheads), with a giant aneurysm of the left coronary artery (arrows). Lower right, a transverse nonenhanced CT at the infrarenal level shows thickened and calcified aneurysmal wall. Journal of Vascular Surgery 2009 50, 1173-1176DOI: (10.1016/j.jvs.2009.05.025) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 2 A, Coronary angiography shows a giant partially thrombosed aneurysm of the distal left main trunk (arrows) and an aneurysm of the circumflex artery (arrowheads). B, A proximally occluded right coronary artery (arrow) and collateral branches to the distal right coronary and distal left anterior descending arteries are noted (arrowheads). Journal of Vascular Surgery 2009 50, 1173-1176DOI: (10.1016/j.jvs.2009.05.025) Copyright © 2009 Society for Vascular Surgery Terms and Conditions

Fig 3 A postoperative contrast-enhanced computed tomography scan of the aorta shows the position of the graft with replanted arteries. CA, Celiac artery; SMA, superior mesenteric artery; RRA, right renal artery. Journal of Vascular Surgery 2009 50, 1173-1176DOI: (10.1016/j.jvs.2009.05.025) Copyright © 2009 Society for Vascular Surgery Terms and Conditions