The echocardiographic diagnosis and evolution of coronary aneurysms in Kawasaki's disease

Some cases of coronary aneurysms studied echocardiographically in children suffering from Kawasaki's disease are reported. In the fourth case, bidimensional echocardiography highlighted a uniform dilatation of the right and left coronary proximal segments which had retreated at subsequent controls. In the third case, echocardiogram clearly showed large aneurysms in the common trunk of the left coronary artery, in the left circumflex artery and in the anterior interventricular artery. In other cases, the echocardiogram pointed to the presence of proximal and distal coronary aneurysms whose course it was possible to follow. Stress is laid on the usefulness of dimensional echocardiographic examination in the non-invasive diagnosis of coronary aneurysms in Kawasaki's disease.