J Pathol Transl Med.  2018 Jul;52(4):248-251. 10.4132/jptm.2017.10.23.

Sudden Child Death due to Thrombotic Giant Coronary Artery Aneurysms Complicated by Atypical Kawasaki Disease: An Autopsy Case

• Kim D
• Han MH
• Lee S

• KMID: 2417810
• DOI: http://doi.org/10.4132/jptm.2017.10.23

Abstract

No abstract available.

MeSH Terms

Aneurysm*
Autopsy*
Child*
Coronary Vessels*
Humans
Mucocutaneous Lymph Node Syndrome*

Figure

• 

  Fig. 1. Coronary artery aneurysms. The left main coronary artery (LCA), left anterior descending coronary artery (LAD), and right coronary artery (RCA) form giant aneurysms. Luminal thrombi were removed during examination. AO, aorta; LA appendage, left atrium appendage; PT, pulmonary trunk; RA, right atrium; SVC, superior vena cava.

• 

  Fig. 2. Myocardial infarction of ventricular wall. (A) Posterior wall of left ventricle shows coagulative necrosis along with wavy fibers (arrow). Widened spaces between the dead myofibers contain edema fluid and scattered neutrophils. (B) Posterior wall of right ventricle reveals granulation tissue characterized by loose collagen and capillaries. Patchy fibrosis is observed, with compensatory hypertrophic changes in adjacent myocytes.

• 

  Fig. 3. Elastin stain. The right coronary artery shows destruction of internal elastic lamina and inflammatory cell infiltration.

Reference

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