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Six percent of the affected cases have cardiac involvements; among which, aneurysms comprise the lowest penetrance. By this paper, we aim to cast light on clinical diagnostic and treatment methods of a rare case presentation, a 10-year-old male GPA patient, diagnosed with massive thrombosis at his coronary artery aneurysm. GPA should be considered as differential diagnosis of prolong fever and coronary aneurysms in adolescents.<\/jats:p>","DOI":"10.1155\/2020\/3417910","type":"journal-article","created":{"date-parts":[[2020,4,22]],"date-time":"2020-04-22T23:30:49Z","timestamp":1587598249000},"page":"1-5","source":"Crossref","is-referenced-by-count":3,"title":["Giant Thrombosis at Left Anterior Descending Artery Aneurysm in a 10-Year Old Boy with Granulomatosis with Polyangiitis"],"prefix":"10.1155","volume":"2020","author":[{"given":"Ehsan","family":"Aghaei Moghadam","sequence":"first","affiliation":[{"name":"Department of Pediatrics, Tehran University of Medical Science, Tehran, Iran"},{"name":"Children\u2019s Medical Center, Pediatrics Center of Excellence, Tehran, Iran"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5911-9493","authenticated-orcid":true,"given":"Nahid","family":"Aslani","sequence":"additional","affiliation":[{"name":"Department of 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