The Results of Dynamic Observation in Patients with Kawasaki Disease According to the Transthoracic Echocardiography, Computed Tomography, and Coronary Angiography Data
At period from 2005 to 2009 years, 55 children with Kawasaki disease were examined. The age at the moment of the disease beginning ranged from 1.5 months up to 6 years 9 months. The coronary artery visualization methods were used as follows: transthoracic echocardiography with coronary artery investigation (55), computed tomography (4), and coronary angiography (3). The coronary artery aneurysms were revealed in 22 from 55 (40%) patients. The coronary artery dynamic changes were estimated in group of 17 children with aneurysms that had been observing from 1 to 5 years. During the first 2 years of observation, the 94.0% of small aneurysms and 38.5% of middle size aneurysms disappeared. The 5 from 6 giant aneurysms didn't change, one decreased from 13 to 5 mm during the 1st year from the disease beginning. The intracoronary thrombus formation was observed in 3 giant aneurysms of 2 patients. The anterior descending artery stenosis (80%) was revealed during coronary angiography in one patient with giant aneurysms of right and left coronary arteries after 2 years and 7 months from the disease beginning. The stent implantation in the anterior descending artery was done.