Diagnosis and follow-up of multiple giant coronary artery aneurysms with thrombosis in adolescents with Kawasaki disease, speckle tracking echocardiography, and exercise stress echocardiography: a case report

Kawasaki disease (KD) is an acute systemic vasculitis that affects greater odds of coronary arteries. It is the primary cause of acquired heart disease in children in developed countries. We first describe a case of KD with septicemia caused by staphylococcus aureus in an adolescent patient who developed a severe complication, multiple giant coronary artery aneurysms with thrombosis. A combination of two-dimensional speckle tracking echocardiography (2D-STE) and exercise stress echocardiography(ESE) have potential benefits. In particular, we explore the possibility that regional longitudinal strain (LS) may predict inducible myocardial ischemia areas, and seem a promising tool of potential clinical value.