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November 1983, Vol 137, No. 11 >
Article | November 1983

Idiopathic Multiple Systemic Aneurysms in a Child FREE

Henry Fee, MD; Edwin McGough, MD
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Am J Dis Child. 1983;137(11):1101-1102. doi:10.1001/archpedi.1983.02140370061020.
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• A 3-year-old child had ischemia of the left-sided upper extremity secondary to embolic disease. Arteriography showed multiple idiopathic saccular aneurysms of the left subclavian artery. Coronary arteriograms were normal. Cerebral arteriography showed ectasia of the right common carotid artery, and abdominal aortography, aneurysms of the splenic and phrenic arteries. The patient underwent brachial artery embolectomy, proximal and distal aneurysm ligation, and placement of a carotid to axillary artery polytef bypass graft. Microscopic analysis indicated intimal proliferation, normal elastic tunica media vasorum, and no evidence of an inflammatory process. Electron microscopy showed no evidence of rickettsiae. The patient's clinical appearance was similar but not identical to that of Kawasaki disease, Takayasu's disease, or periarteritis nodosa. Workup of the patient and subsequent surgical exploration failed to demonstrate a definitive cause.

(Am J Dis Child 1983;137:1101-1102)

REFERENCES

1 +
Kato H, Koike S, Yamamoto M, et al:  Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome . J Pediatr 1975;;86:892-898.
2 +
Sandiford FM, Vargo TA, Shih JY et al:  Successful triple coronary artery bypass in a child with multiple coronary aneurysms due to Kawasaki's disease . J Thorac Cardiovasc Surg 1980;;79:283-287.
3 +
Mortimer EA:  Mucocutaneous lymph node syndrome: The epidemiologic approach toward finding its causation . Am J Dis Child 1976;;130: 593-594.
4 +
Kato H, Ichinose E, Yoshioka F, et al:  Fate of coronary artery aneurysms in Kawasaki disease: Serial coronary angiography and long-term followup study . Am J Cardiol 1982;;49:1758.

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References

1 +
Kato H, Koike S, Yamamoto M, et al:  Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome . J Pediatr 1975;;86:892-898.
2 +
Sandiford FM, Vargo TA, Shih JY et al:  Successful triple coronary artery bypass in a child with multiple coronary aneurysms due to Kawasaki's disease . J Thorac Cardiovasc Surg 1980;;79:283-287.
3 +
Mortimer EA:  Mucocutaneous lymph node syndrome: The epidemiologic approach toward finding its causation . Am J Dis Child 1976;;130: 593-594.
4 +
Kato H, Ichinose E, Yoshioka F, et al:  Fate of coronary artery aneurysms in Kawasaki disease: Serial coronary angiography and long-term followup study . Am J Cardiol 1982;;49:1758.

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