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).