Keywords:
Cardiovascular system, CT-Angiography, Computer Applications-Detection, diagnosis, Inflammation
Authors:
J. A. Kim1, E. J. Chun2, S. I. Choi2; 1Gyeonggido/KR, 2Seongnam-Si/KR
Methods and Materials
A.
Coronary involvement of Takayasu’s arteritis ; 10-30% of Takayasu’s arteritis patient
• Type I : Stenosis or occlusion of the coronary ostia and the proximal segments of the coronary arteries (most common) [Fig.1 &2]
• Type II ; diffuse or focal coronary arteritis,
which can extend diffusely to all epicardial branches or can involve focal segments,
so-called skip lesions [Fig.3]
• Type III ; coronary aneurysm [Fig.4]
B.
Cardiac sequalae of Kawasaki vasculitis [Fig.
5-8]
• Coronary artery dilatation,
premature atherosclerosis,
stenosis (4.7%),
thrombosis,
or occlusion with myocardial infarction (1.9%)
• In most cases,
within 3-6 months of the acute illness
• In some cases,
may develop as many as 10-21 years after the acute phase of the disease
• Coronary artery aneurysm or coronary artery ectasia develops in 15%–25% of untreated children with Kawasaki disease,
5% after γ- globulin treatment.