Giant coronary aneurysms in an infant: Dilemma of MIS-C.
Echocardiography
; 39(7): 950-953, 2022 07.
Article
in English
| MEDLINE | ID: covidwho-2257639
ABSTRACT
COVID-19 related multisystem inflammatory syndrome in children (MIS-C) can present with cardiovascular complications like shock, arrhythmias, pericardial effusion, and coronary artery dilatation. The majority of MIS-C associated coronary artery abnormalities are dilation or small aneurysms which are transient and resolve in a few weeks. We present here a case of a 3-month-old child who was noted to have giant aneurysms of her coronary arteries (LAD and RCA) 26 days after testing positive for COVID-19. She was treated with IVIG, infliximab, and glucocorticoids along with aspirin, clopidogrel, and enoxaparin. She did not show any signs of coronary ischemia or cardiac dysfunction but continued to have persistent giant coronary artery aneurysms involving the LAD (z-score â¼35) and RCA (z-score â¼30). This study emphasizes the importance of early detection and aggressive management of MIS-C to prevent potentially life-threatening consequences.
Keywords
Full text:
Available
Collection:
International databases
Database:
MEDLINE
Main subject:
Coronary Aneurysm
/
Coronary Artery Disease
/
COVID-19
/
Mucocutaneous Lymph Node Syndrome
Type of study:
Case report
/
Diagnostic study
/
Prognostic study
Topics:
Long Covid
Limits:
Child
/
Female
/
Humans
/
Infant
Language:
English
Journal:
Echocardiography
Journal subject:
Cardiology
/
Diagnostic Imaging
Year:
2022
Document Type:
Article
Affiliation country:
Echo.15408
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