The Results of Dynamic Observation in Patients with Kawasaki Disease According to the Transthoracic Echocardiography, Computed Tomography, and Coronary Angiography Data
<i>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 1</i><sup><i>st</i></sup><i> 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.</i>