Giant Coronary Aneurysms in Multisystem Inflammatory Syndrome in Children Associated With SARS-CoV-2 Infection
D. Sofia Villacis-Nunez, Sassan Hashemi, Meghan Corrigan Nelson, Elaine Flanagan, Amit Thakral, Fred H. Rodriguez, Preeti Jaggi, Matthew E. Oster, Sampath Prahalad, Kelly Rouster‐Stevens
Abstract
Multisystem inflammatory syndrome in children (MIS-C) can cause a myriad of cardiac manifestations, including coronary dilation and aneurysms; giant aneurysms are infrequent. We describe 3patients with giant coronary aneurysms associated with MIS-C, including the youngest case reported to date, treated with intravenous immunoglobulin, corticosteroids, and biologic agents. (Level of Difficulty: Intermediate.)
Topics & Concepts
MedicineAneurysmCoronavirus disease 2019 (COVID-19)AntibodyCardiologyInternal medicineImmunologySurgeryDiseaseInfectious disease (medical specialty)Kawasaki Disease and Coronary ComplicationsCoronary Artery AnomaliesCardiovascular Issues in Pregnancy