소아의 관상동맥경화와 관상동맥류로 인한 급성심장사: 부검 증례
Sudden Cardiac Death from Coronary Arteriosclerosis and Coronary Artery Aneurysm in Childhood: An Autopsy Case
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Coronary artery disease in childhood is rare. However, coronary arteriosclerosis and coronary artery aneurysm may occur in childhood as congenital malformations, or as complications of vasculitis, other connective tissue disorders, and infections. Coronary arteriosclerosis and coronary artery aneurysm may manifest in varied ways, including silent ischemia, myocardial infarction and sudden cardiac death. In this report, we present a rare case of sudden death in 5-year-old child. Autopsy examination showed coronary arteriosclerosis and coronary artery aneurysm with myocardial fibrosis of the septal wall. Pathologic examination showed near total occlusion of the left anterior descending branch of the coronary artery and the aneurysm, with fibrosis and calcification of the right coronary artery.
Abstract
Coronary artery disease in childhood is rare. However, coronary arteriosclerosis and coronary artery aneurysm may occur in childhood as congenital malformations, or as complications of vasculitis, other connective tissue disorders, and infections. Coronary arteriosclerosis and coronary artery aneurysm may manifest in varied ways, including silent ischemia, myocardial infarction and sudden cardiac death. In this report, we present a rare case of sudden death in 5-year-old child. Autopsy examination showed coronary arteriosclerosis and coronary artery aneurysm with myocardial fibrosis of the septal wall. Pathologic examination showed near total occlusion of the left anterior descending branch of the coronary artery and the aneurysm, with fibrosis and calcification of the right coronary artery.
참고문헌 (10)
- Burns JC, "Kawasaki syndrome", Lancet, 364, pp.533~544 (2004)
- Abou Sherif S, "Coronary artery aneurysms: a review of the epidemiology, pathophysiology, diagnosis, and treatment", Front Cardiovasc Med, 4, pp.24~ (2017)
- Pahlavan PS, "Coronary artery aneurysm : a review", Clin Cardiol, 29, pp.439~443 (2006)
- Friedman KG, "Coronary stenosis after Kawasaki disease : size matters", J Pediatr, 194, pp.8~10 (2018)
- 김동자, "Sudden Child Death due to Thrombotic Giant Coronary Artery Aneurysms Complicated by Atypical Kawasaki Disease: An Autopsy Case", Journal of Pathology and Translational Medicine, 52(4), pp.248~251 (2018), 대한병리학회[DOI]
- Choi YS, "Medicolegal investigation of Kawasaki disease : three cases of sudden death by coronary artery lesions", Korean J Leg Med, 27, pp.39~44 (2003)
- Lee JS, "Calcification and aneurysms of coronary artery without atherosclerosis in young adult", Korean J Leg Med, 21, pp.105~112 (1997)
- Lee M, "Coronary artery aneurysms in children is not always Kawasaki disease : a case report on Takayasu arteritis", BMC Rheumatol, 5, pp.27~ (2021)
- Rangaswamy D, "All that childhood coronary artery aneurysms are not Kawasaki disease!Indian", J Pediatr, 88, pp.97~98 (2021)
- Canares TL, "Giant coronary artery aneurysms in juvenile polyarteritis nodosa : a case report", Pediatr Rheumatol Online J, 10, pp.1~ (2012)