Diagnosis of coronary aneurysms in siblings: treatment with a new surgical procedure

Familial occurrence of Kawasaki syndrome in North America

OBJECTIVE

To describe families with multiple members affected with Kawasaki syndrome (KS) to increase awareness of the familial occurrence of KS among practitioners who care for these patients.

DESIGN

Retrospective review of medical records at 2 medical centers and data collection from remote KS families who contacted the KS Research Program at the University of California, San Diego.

RESULTS

Eighteen families with multiple affected members were identified. There were 9 families with 2 affected siblings. In San Diego, 3 (0.7%) of 424 KS families had sibling cases. Nine families were identified with KS in 2 generations or in multiple affected members, yielding a total of 24 KS-affected children. No clear pattern of inheritance could be deduced from these pedigrees, and it is likely that multiple polymorphic alleles influence KS susceptibility.

CONCLUSION

Physicians should counsel affected families and make them aware of the potential increased risk of KS among family members.

Right coronary artery and interatrial septal aneurysms with fistulous connection to the right atrium

Coronary artery aneurysmal disease is a rare pathology occasionally associated with coronary artery to venous fistulous connection. We report a case of right coronary artery aneurysm with fistulous connection to the right atrium associated with an aneurysm of the interatrial septum.

Operative therapy of coronary arterial aneurysm

In summary, a patient with multiple coronary aneurysms and operative therapy is described and 17 previously reported similar cases are reviewed. The proper type of operation for this condition is as yet unclear, but, nevertheless, the reported cases and our case with operative therapy have done well postoperatively despite a variety of procedures performed.

Coronary aneurysms: a case report and review

This case report describes a large coronary aneurysm and poses questions regarding management. The discussion that follows addresses what is known about the natural history of and options for management of coronary aneurysms.