Multi-slice CT Diagnostics of lesions of the coronary and peripheral arteries in Kawasaki syndrome in Children

Мультиспиральная компьютерная томография в диагностике поражений коронарных и периферических артерий при синдроме Кавасаки у детей
Elmira Chuvakova 1, Timur Sarsengaliyev 1, Boris Tsoy 1, Aisulu Zhangalova 1
More Detail
1 «National Scientific Medical Research Center» JSC, Departments of Radiology, Astana, Kazakhstan
J CLIN MED KAZ, Volume 2, Issue 36, pp. 47-50.
OPEN ACCESS 2926 Views 2228 Downloads
Download Full Text (PDF)

ABSTRACT

Kawasaki syndrome is characterized by predominant affection of middle and small arteries with developing of destructively proliferative vasculitis; clinically it is expressed by fever, changes in mucosa, skin, lymph nodes, potential affection of coronary and other splanchnic arteries. Today the syndrome is recognized as leading cause of acquired heart diseases in children - particularly disorders of coronary arteries (CA) and can lead to ischemic heart disease and miocardial infarction in childhood and at a young age.
Multispiral computed tomography (MSCT) is a one of the best non-invasive and available diagnostic techniques. We suggest for discussion a question of MSCT-angiography significance in imaging of aneurysm of coronary and peripheral arteries at Kawasaki syndrome.
Keywords: Kawasaki syndrome, aneurysm of coronary arteries, multispiral computed tomography

CITATION

Chuvakova E, Sarsengaliyev T, Tsoy B, Zhangalova A. Multi-slice CT Diagnostics of lesions of the coronary and peripheral arteries in Kawasaki syndrome in Children. Journal of Clinical Medicine of Kazakhstan. 2015;2(36):47-50.

REFERENCES

  • Subbotin V.M. Klinicheskie projavlenija koronarita pri bolezni Kavasaki u detej v zavisimosti ot lokalizacii i haraktera koronarnogo porazhenija (Clinical manifestations koronarita Kawasaki disease in children, depending on the location and nature of the coronary lesion), Diss. kand. med.nauk, Moskva, 2001.
  • Durall A.L., Phillips J.R., Weisse M.E., Mullett CJ. Infantile Kawasaki disease and peripheral gangrene, J. Pediatr, 2006, Vol.149, No.1, pp.131-133.
  • Wong D., Harder J., JadavjiT. Kawasaki disease, myocardial infarction and coronary artery revascularization, Can. J. Cardiol, 2005, Vol.21, No.7, pp.601-604.
  • Kawasaki T. Acute febrile mucocutaneous syndrome with lymphoid involvement with specific desquamation of the fingers and toes in children, Arerugi, 1967, No.16, pp.178-222.
  • Newburger JW, Takahashi M, Gerber MA, et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association. Pediatrics, 2004, No.114, pp.1708-1733.
  • Yanagawa H, Nakamura Y, Yashiro M, et al. Incidence of Kawasaki disease in Japan: the nationwide surveys of 1999-2002, Pediatr Int, 2006, No.48, pp.356-361.
  • Karmazanovskij G.G. Komp’juternaja tomografija – osnova moshhi sovremennoj rentgenologii (Computed tomography - the basis of the power of modern radiology), Medicinskaja vizualizacija, 2005, No.6, pp.139-143.
  • Kato H., Ichinose E., Kawasaki T. Myocardial infarction in Kawasaki disease: clinical analyses in 195 cases, J. Pediatr,1986, No.108, pp.923–927.
  • Veselova T.N., Ternovoj S.K. Informativnost’ mul’tispiral’noj komp’juternoj tomografii v opredelenii defekta perfuzii miokarda u bol’nyh ostrym infarktom miokarda (Informative multislice computed tomography in determining a defect in myocardial perfusion in patients with acute myocardial infarction), Terapevticheskij arhiv, 2013, No. 4, pp.16-21.
  • Huang B. et al. Pediatric 64-MDCT coronary angiography with ECG-modulated tube current: radiation dose and cancer risk, American Journal of Roentgenology, 2009, Т. 193, No. 2, pp. 539-544.
  • Goo H. W. et al. Coronary CT angiography and MR angiography of Kawasaki disease, Pediatric radiology, 2006, Т. 36, No. 7, pp. 697-705.
  • Díaz-Zamudio M. et al. Coronary Artery Aneurysms and Ectasia: Role of Coronary CT Angiography 1, Radiographics, 2009, Т. 29, No. 7, pp. 1939-1954.
  • Suzuki A. et al. Coronary arterial lesions of Kawasaki disease: cardiac catheterization findings of 1100 cases, Pediatric cardiology, 1986, Т. 7, No.1, pp. 3-9.
  • Mavroudis C. et al. Pediatric coronary artery bypass for Kawasaki, congenital, post arterial switch, and iatrogenic lesions, The Annals of thoracic surgery, 1999, Т. 68, No. 2, pp. 506-512.
  • Akagi T. et al. Outcome of coronary artery aneurysms after Kawasaki disease, The Journal of pediatrics, 1992, Т. 121, No. 5, pp. 689-694.
  • Ishii M. et al. Sequential Follow-Up Results of Catheter Intervention for Coronary Artery Lesions After Kawasaki Disease Quantitative Coronary Artery Angiography and Intravascular Ultrasound Imaging Study, Circulation, 2002, Т. 105, No. 25, pp.3004-3010.
  • Suhareva G. Je. et al. Rol’ sovremennyh metodov vizualizacii v diagnostike slozhnyh vrozhdennyh porokov serdca u detej (The role of modern imaging techniques in the diagnosis of complex congenital heart defects in children), Zdorov’e rebenka, 2010, No. 1, p. 22.
  • Yu Y. et al. Comparison Study of Echocardiography and Dual‐Source CT in Diagnosis of Coronary Artery Aneurysm Due to Kawasaki Disease: Coronary Artery Disease, Echocardiography, 2011, Т. 28, No. 9, pp. 1025-1034.
  • Arnold R. et al. Visualization of coronary arteries in patients after childhood Kawasaki syndrome: value of multidetector CT and MR imaging in comparison to conventional coronary catheterization, Pediatric radiology, 2007, Т. 37, No. 10, pp. 998- 1006.
  • Newburger J.W., Takahashi M., Gerber M.A., Gewitz M.H. et al. Diagnosis, treatment, and long-term management of Kawasaki disease: a statement for health professionals from the Committee on Rheumatic Fever, Endocarditis, and Kawasaki Disease, Council on Cardiovascular Disease in the Young, American Heart Association, Pediatrics, 2004, No.114, pp.1708–1733.
  • Lyskina G.A., Shirinskaja O. G. Klinicheskaja kartina, diagnostika i lechenie sindroma Kavasaki: izvestnye fakty i nereshennye problem (The clinical picture, diagnosis and treatment of Kawasaki syndrome: the known facts and unsolved problems), VSP, 2013, No.1, pp.63-73.
  • Kato H., Sugimura T., Akagi T., Sato N., Hashino K., Maeno Y., Kazue T., Eto G., Yamakawa R. Long-term consequences of Kawasaki disease. A 10-to 21-year follow-up study of 594 patients, Circulation,1996, No. 94, pp.1379–1385.
  • Burns J. C., Glode M. P. Kawasaki syndrome, Lancet, 2004, No. 364, pp. 533–544.
  • Guidelines for diagnosis and management of cardiovascularsequelae in Kawasaki disease, Pediatr. Int, 2005, No.47, pp.711– 732.
  • Kanamaru H. et al. Assessment of coronary artery abnormalities by multislice spiral computed tomography in adolescents and young adults with Kawasaki disease, The American journal of cardiology, 2005, Т. 95, No. 4, pp. 522-525.
  • Sohn S., Kim H. S., Lee S. W. Multidetector row computed tomography for follow-up of patients with coronary artery aneurysms due to Kawasaki disease, Pediatric cardiology, 2004, Т. 25, No.1, pp. 35-39.
  • Brogan P. A. et al. Kawasaki disease: an evidence based approach to diagnosis, treatment, and proposals for future research, Archives of disease in childhood, 2002, Т. 86, No. 4, pp. 286-290.
  • Kato H, Ichinose E, Kawasaki T. Myocardial infarction in Kawasaki disease: clinical analyses in 195 cases, J Pediatr, 1986, No.108, pp.923–927.
  • Portnov Ju. M. et al. Mul’tispiral’naja komp’juternaja tomografija v diagnostike vrozhdennyh porokov serdca u detej pervyh let zhizni (Multislice computed tomography in the diagnosis of congenital heart disease in children in the first years of life), Kompleksnye problemy serdechno-sosudistyh zabolevanij, 2013, No. 4, pp.42-48.