{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,30]],"date-time":"2026-07-30T10:46:25Z","timestamp":1785408385825,"version":"3.56.0"},"reference-count":39,"publisher":"Cambridge University Press (CUP)","issue":"12","license":[{"start":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T00:00:00Z","timestamp":1768262400000},"content-version":"unspecified","delay-in-days":43,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2025,12]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>We report two adult patients who had rare systemic artery lesions with a history of Kawasaki disease, with a review of the literature. A 39-year-old male with Kawasaki disease at the age of 2 months underwent coronary artery bypass grafting to the right coronary artery and left anterior descending artery because of coronary artery stenoses. In the screening by thoracic-abdominal CT before the operation, calcification of the distal abdominal aorta was detected, and an abdominal aortic aneurysm with stenosis was diagnosed. He had been asymptomatic, and there were no differences in his extremities\u2019 blood pressure. Although a slight dilatation of the distal abdominal aorta had existed in his aortogram at 2 years 9 months old, the abnormal finding had been unnoticed. A 26-year-old female with coronary artery bypass grafting at the age of 23 months had hypertension. A stenosis of the orifice at the right renal artery was detected by two-dimensional echocardiography and a magnetic resonance angiogram. Her hypertension in adulthood was suspected to result from her renal artery stenosis, which acute Kawasaki vasculitis underlies. Although coronary artery lesions in both patients were diagnosed in their childhood, systemic artery lesions were not realised until adulthood. Because abdominal aortic aneurysms and renal artery stenosis are extremely rare, they were not recognised as systemic artery lesions caused by Kawasaki disease. Their lesions can occur in patients with severe acute vasculitis at a significantly younger age, less than 6 months. Systemic artery lesions in such adult patients must be carefully evaluated.<\/jats:p>","DOI":"10.1017\/s1047951125110743","type":"journal-article","created":{"date-parts":[[2026,1,13]],"date-time":"2026-01-13T09:04:06Z","timestamp":1768295046000},"page":"2448-2456","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":0,"title":["Rare systemic artery lesions due to Kawasaki disease diagnosed in adults: a review of the literature on abdominal aortic aneurysms and renovascular hypertension"],"prefix":"10.1017","volume":"35","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9617-4766","authenticated-orcid":false,"given":"Etsuko","family":"Tsuda","sequence":"first","affiliation":[{"id":[{"id":"https:\/\/ror.org\/01v55qb38","id-type":"ROR","asserted-by":"publisher"}],"name":"National Cerebral and Cardiovascular Center"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"56","published-online":{"date-parts":[[2026,1,13]]},"reference":[{"key":"S1047951125110743_ref5","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2015.04.036"},{"key":"S1047951125110743_ref19","doi-asserted-by":"publisher","DOI":"10.1111\/j.1442-200X.1996.tb03480.x"},{"key":"S1047951125110743_ref17","doi-asserted-by":"publisher","DOI":"10.1016\/S0161-6420(83)34522-X"},{"key":"S1047951125110743_ref36","doi-asserted-by":"publisher","DOI":"10.3400\/avd.cr.13-00067"},{"key":"S1047951125110743_ref30","doi-asserted-by":"publisher","DOI":"10.1017\/S1047951105001344"},{"key":"S1047951125110743_ref28","first-page":"395","article-title":"A case with multiple artery aneurysms including abdominal aortic aneurysm","volume":"19","author":"Kinoshita","year":"1999","journal-title":"Prog Med"},{"key":"S1047951125110743_ref8","doi-asserted-by":"publisher","DOI":"10.1542\/peds.68.6.885"},{"key":"S1047951125110743_ref26","first-page":"940","article-title":"Usefulness of MRA for the diagnosis of peripheral artery aneurysms in two patients","volume":"79","author":"Teraguchi Ogino","year":"1997","journal-title":"Chiryo"},{"key":"S1047951125110743_ref39","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000001295"},{"key":"S1047951125110743_ref20","first-page":"292","article-title":"Two cases of Kawasaki disease with aortic aneurysm","volume":"93","author":"Ninomiya","year":"1989","journal-title":"J Jpn Pediatr Soc"},{"key":"S1047951125110743_ref12","first-page":"1038","article-title":"A case of surgery for coronary artery lesions and abdominal aortic aneurysm caused by Kawasaki disease","volume":"30","author":"Kondo","year":"1990","journal-title":"J Jpn Coll Angio"},{"key":"S1047951125110743_ref33","first-page":"1227","article-title":"A case with PTRA for pediatric renovasucular hypertension","volume":"34","author":"Nagao","year":"1986","journal-title":"Resp Circ"},{"key":"S1047951125110743_ref1","doi-asserted-by":"publisher","DOI":"10.1161\/01.CIR.94.6.1379"},{"key":"S1047951125110743_ref34","unstructured":"34. Morishita, S , Mawatari, K , Yoshimi, K , et\u00a0al. Catheter intervention and surgical treatment of renovascular hypertension due to Kawasaki disease. Kawasaki disease. In: 5th International Kawasaki Disease Symposium, 1995, 1093, 544\u2013548."},{"key":"S1047951125110743_ref11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jjcc.2009.03.012"},{"key":"S1047951125110743_ref7","first-page":"499","article-title":"An infant with a history of Kawasaki disease and abdominal aortic aneurysm","volume":"8","author":"Takeuchi","year":"1976","journal-title":"Pediatr Surg Pediatr"},{"key":"S1047951125110743_ref27","first-page":"371","article-title":"Three cases with giant coronary aneurysms and abdominal aortic aneurysm who had been followed-up more than 10 years","volume":"18","author":"Yakasuga","year":"1998","journal-title":"Prog Med"},{"key":"S1047951125110743_ref38","doi-asserted-by":"publisher","DOI":"10.1007\/s00467-007-0520-4"},{"key":"S1047951125110743_ref31","first-page":"719","article-title":"Bilateral renal artery stenosis in Kawasaki disease; a report of two cases","volume":"24","author":"Falcini","year":"2006","journal-title":"Clin Exp 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and abdominal aortic aneurysm","volume":"44","author":"Umemoto","year":"1991","journal-title":"Jpn J Pediatr"},{"key":"S1047951125110743_ref4","doi-asserted-by":"publisher","DOI":"10.1016\/S0022-3476(82)80639-2"},{"key":"S1047951125110743_ref18","first-page":"1755","article-title":"An infant with renal failure, DIC, and Raynauds phenomenon died of rapture of abdominal aortic aneurysm","volume":"76","author":"Mori M.Kurozumi","year":"1994","journal-title":"Chiryo"},{"key":"S1047951125110743_ref23","first-page":"116","article-title":"A case of MCLS with multiple aneurysms and various symptoms","volume":"37","author":"Mochiduki","year":"1983","journal-title":"Jpn J Pediatr"},{"key":"S1047951125110743_ref35","doi-asserted-by":"publisher","DOI":"10.1155\/2013\/831834"},{"key":"S1047951125110743_ref10","doi-asserted-by":"publisher","DOI":"10.1017\/S104795112200316X"},{"key":"S1047951125110743_ref14","first-page":"59","article-title":"Kawasaki 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2026. Published by Cambridge University Press","name":"copyright","label":"Copyright","group":{"name":"copyright_and_licensing","label":"Copyright and Licensing"}}]}}