Evaluating for systemic artery aneurysms using noncontrast magnetic resonance angiography in patients with Kawasaki disease: A report of two cases

Haruki Nonaka, RT; Takanori Masuda, PhD; Takeshi Nakaura, PhD, MD; Masahiro Tahara, PhD, MD; Tetsuya Nitta, MD; Masami Yoneyama, MT; Mio Okano, RT; Yuko Morikawa, RT; Tomoyasu Sato, PhD,MD

Radiology Case Reports (Mar 2021)

Evaluating for systemic artery aneurysms using noncontrast magnetic resonance angiography in patients with Kawasaki disease: A report of two cases

Haruki Nonaka, RT,
Takanori Masuda, PhD,
Takeshi Nakaura, PhD, MD,
Masahiro Tahara, PhD, MD,
Tetsuya Nitta, MD,
Masami Yoneyama, MT,
Mio Okano, RT,
Yuko Morikawa, RT,
Tomoyasu Sato, PhD,MD

Affiliations

Haruki Nonaka, RT: Department of Radiological Technology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, Japan; Corresponding author.
Takanori Masuda, PhD: Department of Radiological Technology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, Japan
Takeshi Nakaura, PhD, MD: Department of Diagnostic Radiology, Graduate School of Medical Sciences, Kumamoto University, 1-1-1 Honjo, Kumamoto 860-8556, Japan
Masahiro Tahara, PhD, MD: Department of Pediatric Cardiology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, Japan
Tetsuya Nitta, MD: Nitta Pediatric Clinic, Yokogawa-cho 3-9-14, Nishi-ku, Hiroshima 733-0011, Japan
Masami Yoneyama, MT: Philips Japan, 2-13-37 Konan, Minato-ku, Tokyo 108-8507, Japan
Mio Okano, RT: Department of Radiological Technology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, Japan
Yuko Morikawa, RT: Department of Radiological Technology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, Japan
Tomoyasu Sato, PhD,MD: Department of Diagnostic Radiology, Tsuchiya General Hospital, Nakajima-cho 3-30, Naka-ku, Hiroshima 730-8655, Japan

Journal volume & issue: Vol. 16, no. 3
pp. 621 – 627

Abstract

Read online

Kawasaki disease (KD) involves coronary aneurysms and can infrequently cause systemic artery aneurysms (SAAs). Therefore, patients with KD should be evaluated for both coronary and systemic arterial aneurysms. This report describes 2 cases of SAA evaluated using the diastolic phase image of electrocardiogram-gated three-dimensional fast spin echo during noncontrast magnetic resonance angiography. The first case was a 1-year-old male who diagnosed with KD at 2 months of age. Multiple right axillary artery aneurysms measuring 6.0 mm and 2.5 mm and left axillary artery aneurysms measuring 12.0 mm, 4.0 mm, and 3.0 mm were observed by scanning for 94 seconds. The second case was a 13-year-old male who diagnosed with KD at 4 months of age, with a 7.0-mm right axillary artery aneurysm observed by scanning for 101 seconds. Electrocardiogram-gated three-dimensional fast spin echo in the diastolic phase can help evaluate SAA in patients with KD and does not require a prolonged scanning time or contrast medium.

Published in Radiology Case Reports

ISSN: 1930-0433 (Online)
Publisher: Elsevier
Country of publisher: United States
LCC subjects: Medicine: Medicine (General): Medical physics. Medical radiology. Nuclear medicine
Website: https://www.sciencedirect.com/journal/radiology-case-reports

About the journal

Abstract

Keywords