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  • Title: Frequency and size of coronary arterial aneurysm at necropsy in Kawasaki disease.
    Author: Fujiwara T, Fujiwara H, Hamashima Y.
    Journal: Am J Cardiol; 1987 Apr 01; 59(8):808-11. PubMed ID: 3825941.
    Abstract:
    The diameter of the largest coronary arterial aneurysm was examined in 61 autopsied children with Kawasaki disease. Thirty children died during the acute stage: The largest diameter of the coronary aneurysm was 6 mm or more in 23 who died of coronary heart disease and 4.5 mm or less in 7 who died of myocarditis. Thirty-one children died during the healed stage: The diameter of the largest coronary aneurysm was 8 mm or more in 26, to 8 mm in 3, and 2.5 mm or less (normal) in 2. Two patients without coronary aneurysms died of bacterial infections or accidents. Twenty-nine patients with a coronary aneurysm 6 mm or more in diameter died of coronary heart disease. Twenty-three of 26 children with a coronary aneurysm 8 mm or larger had multivessel coronary aneurysms.
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