{"id":19194,"date":"2015-06-03T06:53:22","date_gmt":"2015-06-03T01:23:22","guid":{"rendered":"https:\/\/cardiophile.org\/?p=19194"},"modified":"2015-06-03T06:53:22","modified_gmt":"2015-06-03T01:23:22","slug":"regression-of-coronary-aneurysms-in-kawasaki-disease","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/regression-of-coronary-aneurysms-in-kawasaki-disease\/","title":{"rendered":"Regression of coronary aneurysms in Kawasaki disease"},"content":{"rendered":"<p><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/jInwhnVbfPA\" title=\"YouTube video player\" frameborder=\"0\" allow=\"accelerometer; autoplay; clipboard-write; encrypted-media; gyroscope; picture-in-picture\" allowfullscreen=\"\"><\/iframe><\/p>\n<h2><span style=\"color: #008000;\"><strong>Regression of coronary aneurysms in Kawasaki disease<\/strong><\/span><\/h2>\n<p><strong>Factors which favour regression of coronary aneurysms in Kawasaki disease [1]:<\/strong><\/p>\n<ol>\n<li>Age less than one year at onset of Kawasaki disease<\/li>\n<li>Smaller aneurysms have a greater chance of regression<\/li>\n<li>Distal aneurysms are more likely to regress<\/li>\n<li>Fusiform aneurysms regress more often than saccular aneurysms<\/li>\n<\/ol>\n<p>Overall about half to two thirds of coronary aneurysms in Kawasaki disease have been shown to regress on angiography within one to two years of onset of illness.<\/p>\n<p>In contrast to coronary aneurysms which can regress with time, stenotic lesions are more likely to progress as they are due to intense myointimal proliferation. Progression of stenotic lesions are more likely in those with giant aneurysms.<\/p>\n<p>Worst prognosis is for those with giant aneurysms of 8 millimeters or more diameter [2].<\/p>\n<p>Though echocardiography is the most commonly used investigation for aneurysms in Kawasaki disease and coronary angiography the gold standard, multi detector computed tomography (MDCT) is a useful non invasive modality for long term follow up [3].<\/p>\n<p><span style=\"color: #0000ff;\"><strong>References<\/strong><\/span><\/p>\n<ol>\n<li>Takahashi M, Mason W, Lewis AB.&nbsp;<a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3802442\">Regression of coronary aneurysms in patients with Kawasaki syndrome<\/a>. Circulation. 1987;75:387-394.<\/li>\n<li>Fujiwara T, Fujiwara H, Hamashima Y. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3423060\">Size of coronary aneurysm as a determinant factor of the prognosis in Kawasaki disease: clinicopathologic study of coronary aneurysms<\/a>. Prog Clin Biol Res. 1987;250:519-520.<\/li>\n<li>Khositseth A, Siripornpitak S, Pornkul R, Wanitkun S. Khositseth A, Siripornpitak S, Pornkul R, Wanitkun S. Br J Radiol. 2008 Apr;81(964):e106-9.<\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Factors which favour regression of coronary aneurysms in Kawasaki disease:<br \/>\na) Age less than one year at onset of Kawasaki disease<br \/>\nb) Smaller aneurysms have a greater chance of regression<br \/>\nc) Distal aneurysms are more likely to regress<br \/>\nd) Fusiform aneurysms regress more often than saccular aneurysms<\/p>\n","protected":false},"author":1,"featured_media":33227,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[9],"tags":[],"class_list":["post-19194","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-general"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v28.0 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Regression of coronary aneurysms in Kawasaki disease - All About Cardiovascular System and Disorders<\/title>\n<meta name=\"description\" content=\"Factors which favour regression of coronary aneurysms in Kawasaki disease: Age &gt;1 year, smaller aneurysms. distal aneurysms, fusiform aneurysms\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/regression-of-coronary-aneurysms-in-kawasaki-disease\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Regression of coronary aneurysms in Kawasaki disease - 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