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19 June 2023: Articles

Optical Coherence Tomography in a 9-Year-Old Kawasaki Disease Patient with Giant Coronary Artery Aneurysms and Acute Myocardial Infarction

Unusual clinical course, Unusual setting of medical care

Chih-Wei Ten A* , Yu-Fa Chang C , Wei-Li Hung C , Ming-Ren Chen A

DOI: 10.12659/AJCR.939788

Am J Case Rep 2023; 24:e939788

Figure 1. (A) In the convalescent stage, computed tomography revealed giant right coronary artery aneurysm (asterisk) with an internal diameter of 8.8 mm. (B) Baseline electrocardiography 2 years before this episode. (C) Electrocardiography, standard limb leads, T-wave inversion in lead III, and ST-T changes in lead III and aVf. (D) Left-side precordial electrocardiography, newly appeared incomplete right bundle branch block, and ST depression in lead V3. (E) Complete right-side precordial electrocardiography, newly appeared incomplete right bundle branch block, and ST-T change over right leads. There was no ST-elevation in lead V4R-V6R.

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American Journal of Case Reports eISSN: 1941-5923
American Journal of Case Reports eISSN: 1941-5923