Abstract
A 42-year-old gentleman with Kawasaki disease was referred for silent cardiac ischemia at inferior myocardial region. Coronary angiography showed braid-like appearance in the right coronary artery. Several channels at the segment with braid-like appearance were visualized by multi-slice computed tomography and intravascular ultrasound. Interestingly in particular, optical coherence tomography visualized the presence of multiple micro-vessels which were not detectable on other modalities. This case further elucidates distinct morphological features of braid-like lesion which potentially influences blood supply and causing cardiac ischemia.
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References
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Nakano, H., Kataoka, Y. & Yasuda, S. In vivo visualization of braid-like appearance in Kawasaki disease: insights from multi-modality imaging. Int J Cardiovasc Imaging 33, 1891–1893 (2017). https://doi.org/10.1007/s10554-017-1208-x
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DOI: https://doi.org/10.1007/s10554-017-1208-x