Imaging of Kawasaki Disease

  • Anis Askri
  • Lotfi Hendaoui
  • Rachid Mechmeche
  • Nadia Siala
  • Sami Mourali
  • Ahmed Maherzi
Part of the Medical Radiology book series (MEDRAD)


Kawasaki disease (KD) is an acute systemic disease with generalized vasculitis with unknown etiology that occurs predominantly in infants and young children. The most feared complication is myocardial infarction and death due to thrombosis of coronary artery aneurysms. Imaging plays an important role in early diagnosis and follow up of the disease. Echocardiography is rapidly accessible and innocuous, and it is the modality of choice for the initial diagnosis and follow-up of coronary artery lesions in young patients with KD. MDCT coronary angiography is more sensitive than echocardiography for the detection of aneurysms located on the distal segments. Radiation exposure in children is still a main limitation to the use of this technique for the follow-up of the disease. MRI is an interesting noninvasive technique for the evaluation of coronary arteries, myocardial perfusion and left ventricular function. Coronary angiography is still the gold standard for coronary artery lumen evaluation but remains invasive and is mainly reserved for cases where catheter interventions should be performed.


Coronary Artery Kawasaki Disease Coronary Artery Stenosis Coronary Artery Aneurysm Coronary Artery Lesion 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Springer-Verlag Berlin Heidelberg 2011

Authors and Affiliations

  • Anis Askri
    • 1
  • Lotfi Hendaoui
    • 1
  • Rachid Mechmeche
    • 2
  • Nadia Siala
    • 3
  • Sami Mourali
    • 2
  • Ahmed Maherzi
    • 3
  1. 1.Department of Medical Imaging and Imaging-Guided Interventions, Medical School of TunisMongi Slim University HospitalTunisTunisia
  2. 2.Department of Cardiology, Medical School of TunisLa Rabta University HospitalTunisTunisia
  3. 3.Department of Paediatrics, Medical School of TunisMongi Slim University HospitalTunisTunisia

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