Giant coronary aneurysms in children with Kawasaki disease and major cardiac complications and dynamic follow-up

doi:10.5409/wjcp.v14.i4.108920

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World Journal of Clinical Pediatrics

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2219-2808

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Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA

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World J Clin Pediatr. Dec 9, 2025; 14(4): 108920
Published online Dec 9, 2025. doi: 10.5409/wjcp.v14.i4.108920

Table 4 Clinical features of patients with Kawasaki disease and medium coronary artery aneurysms (subgroup 1b)

ID, sex, age	Affected coronary arteries	KD form	Cardiovascular events	Other KD manifestations	Therapy
10, M, 6 years	LCA aneurysm d = 0.55 cm (Z-score = 8.24)	Complete	NA	NA	IVIG + AA
11, M, 6 years	RCA aneurysm d = 0.65 cm (Z-score = 9.84)	Incomplete	Near-wall thrombus in RCA aneurysm coronary-right atrial fistula	NA	IVIG + AA + heparin and low molecular weight heparin surgical closure of the coronary fistula
12, M, 1.5 years	LCA aneurysm along d = 0.53 cm (Z-score = 9.57)	Complete	NA	NA	IVIG + AA
13, M, 3 years	LCA aneurysm d = 4.6 mm	Complete	NA	NA	IVIG + AA

Numbering continued from Table 3. АА: Acetylsalicylic acid; d: Diameter; IVIG: Intravenous immunoglobulin; KD: Kawasaki disease; LCA: Left coronary artery; M: Male; NA: Not available; RCA: Right coronary artery.

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Citation: Bregel LV, Efremova OS, Podkamenny VA, Kozlov YA, Kostik MM. Giant coronary aneurysms in children with Kawasaki disease and major cardiac complications and dynamic follow-up. World J Clin Pediatr 2025; 14(4): 108920
URL: https://www.wjgnet.com/2219-2808/full/v14/i4/108920.htm
DOI: https://dx.doi.org/10.5409/wjcp.v14.i4.108920

Bregel LV, Efremova OS, Podkamenny VA, Kozlov YA, Kostik MM. Giant coronary aneurysms in children with Kawasaki disease and major cardiac complications and dynamic follow-up. World J Clin Pediatr 2025; 14(4): 108920 [PMID: 41255690 DOI: 10.5409/wjcp.v14.i4.108920]

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