Coronary artery calcifications in the long-term follow-up of Kawasaki disease.

Background: To determine if detection of coronary artery calcifications in patients with Kawasaki disease may serve as a noninvasive predictor of future coronary artery events.

Methods: A prospective, cohort pilot study that included 18 patients with Kawasaki disease > 1 year from the acute disease was performed including 9 patients with coronary abnormalities during the acute illness (Group 1) and 9 without coronary abnormalities (Group 2). Patients were classified by echocardiography as having none, resolved, or residual coronary artery abnormalities.

Congenital diverticulum of the left atrium.

Two cases of congenital diverticulum of the left atrial appendage are described. The first patient was a 3-year-old girl who had a cerebral embolism. The second patient was a 3(1/2)-year-old girl with signs of pericarditis.

Anomalous origin of the left coronary artery from the pulmonary artery: Scintigraphic diagnosis with Tc 99m lung scan.

A case of anomalous origin of the left coronary artery from the pulmonary artery is reported. The diagnosis was made on the basis of characteristic Tc 99m lung scan findings and was confirmed by subsequent angiocardiography and surgery.