Electrocardiogram: sinus rhythm, without cavitary overloads, complete right bundle branch block and 1st degree atrioventricular block. PR: 0.22, QRS: 0.109 with complexes rSr´ in V1 and RS in V6; AP = + 0º, AQRS = + 220º, AT = + 66º.
Chest X-ray: normal cardiac area (cardiothoracic index = 0.50) and linear vascular image with increased density bordering the ventricular arch ().
[…]
Case 6/2017 – Extensive Giant Left Coronary Artery Aneurysm Due to
Kawasaki Vasculitis in Asymptomatic 48-Year-Old Man
AtikE, Kalil FilhoR, JateneF, MarinoJCS. Case 6/2017 – Extensive Giant Left Coronary Artery Aneurysm Due to
Kawasaki Vasculitis in Asymptomatic 48-Year-Old Man. Arq. Bras.
Cardiol. 2017;109(5):489-90.
Atik,Edmar; Kalil Filho,Roberto; Jatene,Fabio; Marino,Júlio Cesar S. Case 6/2017 – Extensive Giant Left Coronary Artery Aneurysm Due to
Kawasaki Vasculitis in Asymptomatic 48-Year-Old Man. Arq. Bras.
Cardiol., v. 109, n. 5, p. 489-490, Nov. 2017.
Atik,E., Kalil Filho,R., Jatene,F., & Marino,J.C.S. (2017). Case 6/2017 – Extensive Giant Left Coronary Artery Aneurysm Due to
Kawasaki Vasculitis in Asymptomatic 48-Year-Old Man. Arq. Bras.
Cardiol.,109(5), 489-490.
Atik,Edmar and Kalil Filho,Roberto and Jatene,Fabio and Marino,Júlio Cesar S. Case 6/2017 – Extensive Giant Left Coronary Artery Aneurysm Due to
Kawasaki Vasculitis in Asymptomatic 48-Year-Old Man. Arq. Bras.
Cardiol. [online]. 2017, vol. 109, n. 5, [cited 2025-09-08], pp.489-490. Available from: <https://abccardiol.org/en/article/case-6-2017-extensive-giant-left-coronary-artery-aneurysm-due-tokawasaki-vasculitis-in-asymptomatic-48-year-old-man/>. ISSN 0066-782X.
Figure 1
Chest X-ray in PA highlights normal cardiac area and pulmonary
vascular tissue. Left ventricular border shows a dense rectilinear image
that corresponds to the left coronary artery aneurysm (arrow). Coronary
angiography points out the aneurysm of the trunk of the left coronary
artery and the circumflex artery (B and D), the obstruction of the
anterior descending artery (B and D) and the right coronary artery (C).
It is observed filling of this artery, with total obstruction, from the
left coronary and the distal part of the AD. Chest tomography shows
dilatation of the left pulmonary artery, and normal caliber of ascending
and descending aorta (E).