Johnson Francis
Department of Cardiology,
Baby Memorial Hospital.
(Former Professor of Cardiology, Govt. Medical College, Kozhikode)
Abstract
Though coronary artery disease is extremely uncommon in children, one should be on the look out for the rare causes, which can occasionally manifest. Kawasaki disease is the most important cause of acquired coronary artery disease in children and manifest mostly as coronary aneurysms. Coronary involvement in Kawasaki disease can be prevented to a large extend by early IVIG treatment. Other acquired causes are coronary calcification in CKD, cardiac allograft vasculopathy and coronary dilatation in SLE. Coronary anomalies are the major group of congenital coronary lesions, which usually manifest in early infancy.
