Coronary Sinus Thrombosis and Post-Myocardial Infarction Syndrome in Kawasaki Disease: Rare Causes of Pericardial Effusion

Hao Wang; Joan M Pancheri; Robert S Appleton; Adriana H Tremoulet; Jane C Burns; Kirsten B Dummer

doi:10.1016/j.jaccas.2023.102077

Coronary Sinus Thrombosis and Post-Myocardial Infarction Syndrome in Kawasaki Disease: Rare Causes of Pericardial Effusion

JACC Case Rep. 2023 Oct 20:26:102077. doi: 10.1016/j.jaccas.2023.102077. eCollection 2023 Nov 15.

Authors

Hao Wang¹, Joan M Pancheri^{1

2}, Robert S Appleton³, Adriana H Tremoulet^{1

2}, Jane C Burns^{1

2}, Kirsten B Dummer^{1

2}

Affiliations

¹ University of California San Diego, La Jolla, California, USA.
² Rady Children's Hospital-San Diego, San Diego, California, USA.
³ Valley Children's Hospital, Madera, California, USA.

Abstract

The hypercoagulable state in Kawasaki disease (KD) may lead to complex cardiovascular sequelae. We present the case of a 2-month-old infant with complete KD complicated by giant coronary artery aneurysms, coronary sinus thrombosis, and post-myocardial infarction syndrome (Dressler syndrome), resulting in 2 distinct episodes of pericardial effusion. (Level of Difficulty: Intermediate.).

Keywords: Dressler syndrome; Kawasaki disease; coronary sinus thrombosis; pericardial effusion; post-myocardial infarction syndrome.

Publication types

Case Reports