However, according to the Japanese guidelines, atypical or incomplete Kawasaki disease (AKD) is defined as the presence of 4 or fewer of the main findings of KD regardless of the presence or absence of coronary artery aneurysm (CAA).
Echocardiography demonstrated ALCAPA, right coronary artery to right ventriclar fistula, right coronary artery aneurysm, collateral coronary circulation formation, severe mitral regurgitation (MR), left ventricular ejection fraction (LVEF) of 61%, and left ventricular fractional shortening (LVFS) of 33% (Figure 1).
A coronary artery aneurysm is defined as >50% increase in arterial diameter when compared to the adjacent arterial segment; (2) they are often asymptomatic.
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