A 20-year-old male presents with a myocardial infarction. Cardiac catheterization reveals dilated coronary arteries with thrombus material in one. Surgery was performed to remove the proximal coronary vessels.
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Healed and late Kawasaki's disease of the coronary.
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Early in the Kawasaki disease pathogenesis there can be an acute necrotizing arteritis. That leads to injury and loss of the internal elastic lamina. This case is late in the process after the injury occurred and the inflammation is predominately in the adventitia.
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