What is the role of echocardiography in the workup of Kawasaki disease?

Updated: Jul 29, 2018
  • Author: Tina K Sosa, MD; Chief Editor: Russell W Steele, MD  more...
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Answer

Echocardiography should be performed to evaluate for CAAs during the acute stage. In order of highest to lowest frequency, the involvement of the coronary arteries is as follows:

  1. Proximal left anterior descending and right coronary arteries

  2. Left main coronary artery

  3. Left circumflex artery

  4. Distal right coronary artery

  5. Posterior descending artery

In addition to evaluating the coronary arteries for dilation and thrombosis, the baseline echocardiogram is also performed to evaluate for other signs of cardiac involvement. This includes aortic root dilation, depressed contractility, ventricular and valvular dysfunction, and pericardial effusion.


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