©The Author(s) 2025.
World J Clin Pediatr. Dec 9, 2025; 14(4): 108920
Published online Dec 9, 2025. doi: 10.5409/wjcp.v14.i4.108920
Published online Dec 9, 2025. doi: 10.5409/wjcp.v14.i4.108920
Table 6 Follow-up of patients with Kawasaki disease and giant coronary aneurysms (9 patients, subgroup 1a)
| ID, sex, age at KD onset | CA | CA, Z-score, SD | Clinical events | |||
| At onset | After 3 months | After 6 months | After 1 year | |||
| 1, M, 5 months | LCA | 12.80 multiple aneurysms | 9.80 | NA | 4.80 | Giant CA of AIVA and RCA, subtotal thrombosis of AIVA, acute myocardial infarction, coronary bypass grafting. After 1-year complete recanalization of thrombosis. Regression of LCA aneurysm to ectasia, recanalization of AIVA, and shunt thrombosis. After 15 years normal LCA and RCA diameter |
| RCA | 13.70 multiple aneurysms | 4.20 | NA | 2.90 | Regression to ectasia, normal diameter after 15 years | |
| 2, M, 9 months | LCA | 11.08 | 8.80 | 8.51 | 6.74 | Partial regression, complete regression after 3 years |
| RCA | 10.44 | 8.39 | 6.83 | 5.93 | Partial regression, normal diameter after 3 years | |
| 3, M, 3 months | LCA | 10.80 | 5.41 | 6.69 | 3.56 | Slow wave-like regression to ectasia after 5 years |
| RCA | 6.80 | 5.73 | 7.26 | 4.71 | Slow wave-like regression to ectasia after 5 years | |
| 4, M, 8 years | LCA | 11.20 | NA | NA | -0.44 | Complete regression after 1 year |
| RCA | 8.43 | NA | NA | 3.07 | Slow regression to ectasia in 1-year, complete regression after 4 years | |
| 5, M, 3 years | LCA | 2.12 | 0.91 | 0.24 | 11.59 | Moderate dilatation in the first episode of KD with regression and formation of giant CA in the recurrence of KD. Complete regression after 4 years |
| RCA | 2.22 | 0.81 | 0.65 | 1.29 | In the first episode of KD, moderate coronary dilatation with further complete regression | |
| 6, M, 3 months | LCA | 1.74 | NA | 6.8 | 3.59 | Coronary dilatation after 6 months with progression to CA and partial regression to ectasia after 1 year |
| RCA | 26.50 | NA | 1.70 | 4.88 | Complete regression did not occur after 1 year of partial regression of giant CA to ectasia; complete regression did not occur | |
| 7, F, 5 years | LCA | 10.90 | 18.00 | NA | 0.11 | Giant CA with diameter increased after 3 months and complete regression after 1 year from the onset of KD |
| RCA | 1.37 | 1.06 | NA | 0.06 | Not involved | |
| 8, F, 8 months | LCA | 12.90 | NA | 12.70 | 12.21 | Giant aneurysm after 1 year without change, complete regression after 5 years |
| RCA | -0.51 | NA | -0.58 | -0.36 | Not involved | |
| 9, F, 2 years | LCA | 14.30 | NA | NA | 16.36 | Giant CA with diameter increased after 1-year, partial regression to large aneurysm (Z-score < 10) after 4 years |
| RCA | 0.50 | NA | NA | 0.72 | Not involved | |
- 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