Evidence map›Paper›PMID 40129850›Full record

ArticleRadiology case reports2025

Progressive coronary aneurysms in Kawasaki disease: A case report and long-term follow-up.

Thomas Saliba, Franck Nevesny, Panagiotis Antiochos, David Rotzinger

Abstract readCase Reports
In one paragraph

Article in Radiology case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

4 authors.

Thomas SalibaRadiodiagnostic department, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1005 Lausanne, Switzerland.
Franck NevesnyRadiodiagnostic department, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1005 Lausanne, Switzerland.
Panagiotis AntiochosCardiology department, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1005 Lausanne, Switzerland.
David RotzingerRadiodiagnostic department, Centre Hospitalier Universitaire Vaudois, Rue du Bugnon 46, 1005 Lausanne, Switzerland.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Kawasaki disease (KD) is a vasculitis that primarily affects children under 5 years of age with coronary artery aneurysms being a significant complication that can lead to long-term cardiovascular risks such as thrombosis and stenosis. We report the case of a 13-year-old boy who was diagnosed with KD after presenting with fever, skin lesions, and conjunctivitis. Cardiac imaging revealed aneurysms of the intraventricular artery, the circumflex artery, and the right coronary artery. Despite initial treatment with intravenous immunoglobulin, aspirin, low molecular weight heparin, and subsequent acenocoumarol therapy, the patient experienced progressive thrombosis of the intraventricular artery aneurysm over 3 years. Investigations revealed a hypercoagulable state due to hyperactive Von Willebrand factor, prompting treatment adjustments that resulted in gradual improvement of the thrombosis. This case underscores the critical need for early imaging, timely diagnosis, and long-term monitoring of KD patients, as coronary aneurysms may persist or progress despite prompt therapy. Rigorous follow-up, tailored anticoagulation strategies, and regular imaging are essential to minimize the risk of life-threatening cardiovascular complications.

Indexed as

AneurysmComplicationKawasakiThrombosisTreatmentVon Willebrand

Identifiers

PMID40129850
PMCPMC11930404

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Registered trials

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