Late Coronary Complication of Kawasaki Disease

BUCHER, INES; Cook, Stéphane; Brahim Mathiron, AMEL

doi:10.3389/fped.2025.1527714

CASE REPORT article

Front. Pediatr.

Sec. Pediatric Cardiology

Volume 13 - 2025 | doi: 10.3389/fped.2025.1527714

Late Coronary Complication of Kawasaki Disease

Provisionally accepted

INES BUCHER

Stéphane Cook

AMEL Brahim Mathiron ^*

Fribourg Cantonal Hospital, Friborg, Switzerland

The final, formatted version of the article will be published soon.

Kawasaki disease, a common cause of acquired heart disease in children, can lead to long-term cardiovascular complications such as coronary aneurysms and stenosis. This case describes a 17-year-old male with a past medical history of Kawasaki disease at ages 3 and 8, treated with IV immunoglobulin leading to a moderate right coronary aneurysm, who presented for a cardiac check-up. He reports only a slight dyspnoea on exertion and atypical chest pain. Despite normal findings on routine ECG and exercise tests, advanced imaging revealed significant coronary stenosis requiring angioplasty. This highlights the limitations of standard diagnostic modalities and underscores the importance of multimodal imaging and tailored management strategies in such patients.

Keywords: case report, kawasaki disease, Coronary arteries, Aneurysm, Myocardial Ischemia

Received: 13 Nov 2024; Accepted: 19 Feb 2025.

Copyright: © 2025 BUCHER, Cook and Brahim Mathiron. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: AMEL Brahim Mathiron, Fribourg Cantonal Hospital, Friborg, Switzerland

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