caa a22 4500 606221573 CHVBK 20210128101129.0 cr unu---uuuuu 210128e20150301xx s 000 0 eng 10.1007/s00380-014-0476-9 doi (NATIONALLICENCE)springer-10.1007/s00380-014-0476-9 Importance of evaluation of the right coronary artery by two-dimensional echocardiography in patients after Kawasaki disease: a right parasternal approach [Elektronische Daten] [Wataru Tamaki, Etsuko Tsuda, Igarashi Takehiro, Norio Tanaka, Mikiya Fujieda] We report the importance of evaluating the right coronary artery (RCA) by two-dimensional echocardiography (2DE) in the acute phase of Kawasaki disease (KD), based on our experience with three patients whose coronary artery lesions (CAL) involving the RCA were missed in the acute phase of KD. Two patients had asymptomatic occlusion of the RCA, and it was speculated that one patient had a cardiac arrest due to CAL of the RCA. An abnormal Q wave in lead III in all 3 patients had indicated stenotic lesions of the RCA. Because it is difficult to diagnose CAL by 2DE in the late period, it is essential to identify the proximal RCA using a right parasternal approach while the patient is lying in the right lateral position. Springer Japan, 2014 Right parasternal approach nationallicence Coronary artery aneurysm nationallicence Coronary artery lesion nationallicence Two-dimensional echocardiography nationallicence Abnormal Q wave nationallicence Tamaki Wataru Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, 565-8565, Osaka, Japan aut Tsuda Etsuko Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, 565-8565, Osaka, Japan aut Takehiro Igarashi Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, 565-8565, Osaka, Japan aut Tanaka Norio Department of Physiological Laboratory, National Cerebral and Cardiovascular Center, Osaka, Japan aut Fujieda Mikiya Department of Pediatrics, Kochi Medical School, Kochi University, Kochi, Japan aut Heart and Vessels Springer Japan 30/2(2015-03-01), 178-185 0910-8327 30:2<178 2015 30 380 https://doi.org/10.1007/s00380-014-0476-9 text/html Onlinezugriff via DOI BK010053 XK010053 XK010000 Metadata rights reserved Springer special CC-BY-NC licence nationallicence 1 research-article jats NATIONALLICENCE NATIONALLICENCE NL-springer NATIONALLICENCE 856 40 https://doi.org/10.1007/s00380-014-0476-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Tamaki Wataru Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, 565-8565, Osaka, Japan aut NATIONALLICENCE 700 1- Tsuda Etsuko Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, 565-8565, Osaka, Japan aut NATIONALLICENCE 700 1- Takehiro Igarashi Department of Pediatric Cardiology, National Cerebral and Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, 565-8565, Osaka, Japan aut NATIONALLICENCE 700 1- Tanaka Norio Department of Physiological Laboratory, National Cerebral and Cardiovascular Center, Osaka, Japan aut NATIONALLICENCE 700 1- Fujieda Mikiya Department of Pediatrics, Kochi Medical School, Kochi University, Kochi, Japan aut NATIONALLICENCE 773 0- Heart and Vessels Springer Japan 30/2(2015-03-01), 178-185 0910-8327 30:2<178 2015 30 380