ArticleJournal of cardiology cases2025
Asymptomatic left ventricular dysfunction 48 years after the onset in an adult patient with three-vessel giant aneurysms caused by Kawasaki disease.
Article in Journal of cardiology cases, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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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.
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Abstract
Although giant coronary aneurysms caused by Kawasaki disease (KD) often lead to symptomatic or asymptomatic occlusion within the first year of the acute KD, the long-term fate of giant aneurysms remains unknown. A 51-year-old man with giant coronary aneurysms in three major coronary arteries developed asymptomatic left ventricular dysfunction with complete left bundle branch block (CLBBB) 48 years after the onset of acute KD. He had been treated with antiplatelet therapy. The Learning objective: Asymptomatic left ventricular dysfunction with complete left bundle branch block due to a right coronary artery occlusion occurred in an adult patient more than 40 years after the onset of Kawasaki disease. They improved after coronary artery bypass grafting. The value of the flow fraction ratio for localized stenosis with giant aneurysms can be overestimated in this population. Coronary risk factors such as hypertension, dyslipidemia, and diabetes mellitus associated with aging must be avoided.
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