ArticlePediatric cardiology2026
Characteristics and Outcomes of Patients with Regression of Coronary Artery Aneurysms Caused by Kawasaki Disease.
Article in Pediatric cardiology, 2026. 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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Abstract
Most medium to small-sized coronary artery aneurysms (CAAs) caused by Kawasaki disease (KD) can regress. To clarify the outcomes of patients with regressed-CAAs (r-CAAs). We reviewed characteristics and outcomes in 139 patients (male, 101; female, 38) with r-CAAs between 1978 and 2022 using medical records, including coronary angiograms and coronary computed tomography angiograms (CCTAs). The prevalence of localized stenosis (LS) and outcomes were calculated using the Kaplan-Meier method. Furthermore, the cut-off points of the maximum CAA diameter in the initial angiogram for coronary artery calcification (CAC) in late CCTAs were analyzed. The 25-year incidence of LS was 9.8% (95% CI, 3.6-23.8), and the 25-year cardiac event-free survival rate was 95.3% (95% CI 72.9-99.3). All LS cases were associated with CAC. Cut-off values of the initial maximum CAA diameter for CAC in branches and at bifurcations were 4.9 mm (n = 129, AUC 0.859, p < 0.0001) and 5.7 mm (n = 43, AUC 0.951, p = 0.0013), respectively. The corresponding Z scores were 6.75 (AUC 0.846, p < 0.0001) and 6.65 (AUC 0.921, p = 0.0014), respectively. The cut-off value of the interval time from the onset of KD to CAC detection was 10.0 years (AUC 0.673, p = 0.0053) in branches. LS with CAC in patients with r-CAAs can occur more than 10 years after the onset of KD. CAC after CAA regression is likely to appear at a maximum diameter of more than 5.0 mm (z score 6.7) in young adults; however, it may appear with aging in smaller r-CAAs.
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