Cardiac Magnetic Resonance Imaging for Noninvasive Assessment of Cardiovascular Disease During the Follow-Up of Patients With Kawasaki Disease

• DOI: 10.1161/circimaging.111.965996
• Publication Date: 2011-09-16T10:30:25Z
• Authors: Carline E. Tacke; Irene M. Kuipers; Maarten Groenink; Anje M. Spijkerboer; Taco W. Kuijpers
• Keywords: Cardiac magnetic resonance

Background— Kawasaki disease (KD) is the most common cause of acquired coronary artery in childhood. In KD, American Heart Association recommends echocardiography for routine surveillance and nuclear perfusion scans conventional angiography select patients. Cardiac MRI (CMRI) may be a noninvasive radiation-free alternative. We applied CMRI during follow-up patients with KD assessed performance compared echocardiography. Methods Results— Patients aged ≥8 years were consecutively included. Sixty-three (median age, 14.6 years; 74.6% male sex) underwent comprehensive protocol including adenosine stress testing to evaluate anatomy, ischemia, myocardial infarction. All without significant complications. On CMRI, 23 aneurysms (CAAs) identified 15 detected thrombus formation 6 CAAs 4 patients, wall motion disturbances ischemia delayed hyperenhancement indicating infarction 5 Wall abnormalities noted territories supplied by affected arteries. results recent findings. on not Conclusions— A feasible identify pathology, former compares favorably used as imaging method long-term KD.