Skip to main content


Log in

Multiple Mirror-Image Peripheral Arterial Aneurysms in Kawasaki Disease

  • Case Report
  • Published:
Pediatric Cardiology Aims and scope Submit manuscript


We present the case of a 5-year-old boy diagnosed with Kawasaki disease at 10 months of age who developed fusiform aneurysms of the coronary arteries as well as a previously undescribed pattern of mirror-image peripheral arterial aneurysms. These aneurysms were diagnosed on conventional angiography of the aortoiliac circulation and the bilateral upper extremity circulation.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Fig. 1
Fig. 2
Fig. 3
Fig. 4


  1. Fukazawa R, Ogawa S (2009) Long-term prognosis of patients with Kawasaki disease: at risk for future atherosclerosis? J Nippon Med Sch 76:124–133

    Article  PubMed  Google Scholar 

  2. Kato H, Inoue O, Akagi T (1988) Kawasaki disease: cardiac problems and management. Pediatr Rev 9:209–217

    Article  PubMed  CAS  Google Scholar 

  3. Kato H, Suimura T, Akagi T, Sato N, Hashino K, Maeno Y et al (1996) Long-term consequences of Kawasaki disease. Circulation 94:1379–1385

    PubMed  CAS  Google Scholar 

  4. Landing BH, Larson EJ (1977) Are infantile periarteritis nodosa with coronary artery involvement and fatal mucocutaneous lymph node syndrome the same: comparison of 20 patients from North America with patients from Hawaii and Japan. Pediatrics 59:651–662

    PubMed  CAS  Google Scholar 

  5. Naoe S, Shibuya K, Takahashi K, Wakayama M, Masuda H, Tanaka M (1991) Pathological observations concerning the cardiovascular lesions in Kawasaki disease. Cardiol Young 1:212–220

    Article  Google Scholar 

  6. Naoe S, Takahashi K, Masuda H, Tanaka N (1991) Kawasaki disease. With particular emphasis on arterial lesions. Acta Pathol Jpn 41:785–797

    PubMed  CAS  Google Scholar 

  7. Neuwirth CA, Singh H (2010) Intercostal artery aneurysm in a child with Kawasaki disease and known coronary artery aneurysms. J Vasc Interv Radiol 21:952–953

    Article  PubMed  Google Scholar 

  8. Rowley AH, Shulman ST (2007) Kawasaki disease. In: Kliegman R, Behrman R, Jenson H, Stanton B (eds) Nelson textbook of pediatrics, 18th edn. Saunders/Elsevier, Philadelphia, pp 1036–1042

    Google Scholar 

  9. Suzuki A, Kamiya T, Arakaki Y, Kinoshita Y, Kimura K (1994) Fate of coronary arterial aneurysms in Kawasaki disease. Am J Cardiol 74:822–824

    Article  PubMed  CAS  Google Scholar 

  10. Takahashi K, Oharaseki T, Maoe S (2001) Pathological study of postcoronary arteritis in adolescents and young adults with reference to the relationship between sequelae of Kawasaki disease and atherosclerosis. Pediatr Cardiol 22:138–142

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations


Corresponding author

Correspondence to Manraj K. S. Heran.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Heran, M.K.S., Hockley, A. Multiple Mirror-Image Peripheral Arterial Aneurysms in Kawasaki Disease. Pediatr Cardiol 32, 670–673 (2011).

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: