Conclusion
Giant coronary aneurysms are rare. As a sequalae of Kawasaki’s disease,
patients may develop coronary aneurysms and present with ischemic
symptoms. Management may be challenging, and PCI versus CABG should be
discussed. PCI may be feasible for smaller-sized aneurysms; however,
CABG appears to be an effective modality for giant coronary aneurysms.
This unique case highlights the striking image, clinical reasoning, and
complex decision-making in the management of giant coronary aneurysms in
an adult with Kawasaki disease.
Figure 1 Legend :
Coronary angiography. (A) RAO cranial and (B) RAO caudal views with two
giant 30mm coronary artery aneurysms of the LAD and LCx coronary
arteries (arrows). (C) LAO cranial view depicting a 12mm coronary artery
aneurysm at the proximal RCA (arrow).