Rare Condition, Unusual Anatomy, Elegant Solution – an Uncommon Manifestation of Kawasaki Disease

• Main Authors: Nuno H. Coelho, Paulo Barreto, Victor Martins, Clara Nogueira, Jacinta Campos, Andreia Coelho, Rita Augusto, Carolina Semião, Evelise Pinto, João Ribeiro, Alexandra Canedo
• Format: Article
• Language: English
• Published: Elsevier 2019-01-01
• Series: EJVES Short Reports
• Online Access: http://www.sciencedirect.com/science/article/pii/S2405655318300513

Introduction: Peripheral artery aneurysms are a rare manifestation of Kawasaki disease (KD), with an estimated incidence of approximately 2% of all KD patients. The case of a 14-year-old girl with past clinical history suggestive of KD is reported; she presented with an aneurysm located in the brachial part of a superficial brachioulnoradial artery, still with the genuine brachial artery in place (an anatomical variation with a reported incidence of 0.14–1.3% in general population). Relevant medical data were collected from the hospital database. Report: This is a report of a case of a symptomatic superficial brachioulnoradial artery aneurysm, secondary to KD, treated with aneurysm exclusion and superficial brachioulnoradial to the genuine brachial artery transposition. Uneventful intra- and postoperative course with symptom resolution is reported. Discussion: The coexistence of a rare manifestation of KD (peripheral aneurysm) with an even rarer brachial artery variation allowed a simple but elegant solution, making this a unique case. Keywords: Kawasaki disease, Brachial artery aneurysm, Superficial brachioulnoradial artery, Brachial–antebrachial arterial pattern variations