Treatment and Imaging Modalities of Giant Coronary Aneurysms Resulting from Kawasaki Disease and Presenting as Acute Inferior Wall Myocardial Infarction

Figure 1

(a) Twelve-lead ECG on admission. ST segment elevation in leads II, III, and AVF is evident. Acute ST elevation inferior wall infarction was confirmed by troponin T dynamics over the following week. (b) Coronary angiography showing a large coronary aneurysm involving the proximal right coronary artery (white arrow) with complete occlusion of the artery. (c) Coronary angiography showing large coronary aneurysms involving the left anterior descending (black arrow) and circumflex (white arrow) coronary arteries. (d) CT angiography showing the gigantic proximal left anterior descending coronary artery aneurysm (white arrow). (e) Actual measurements of the left anterior descending coronary artery (LAD) aneurysm (white arrow): the maximal outer size of the LAD aneurysm is , and the size of the lumen of the LAD is . (f) A view from the operation showing the large aneurysm involving the left anterior descending artery (forceps tip and white arrow).

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