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| A PICTURE IS WORTH A THOUSAND WORDS |
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| Year : 2002 | Volume
: 3
| Issue : 4 | Page : 8 |
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A picture is worth a thousand words
Andrej Robida
Consultant PediatricCardiologist, Pediatric Cardiology Section, Cardiology and Cardiovascular Surgery Department, Hamad Medical Corporation (1989 _ 2001), Undersecretary of Health, Slovenia (2002 _ present)
| Date of Web Publication | 22-Jun-2010 |
Correspondence Address:
Andrej Robida
Director, Non-Invasive Cardiac Laboratory, Cardiology & Cardiovascular Surgery Department, Hamad Medical Corporation, Doha,Qatar
 Source of Support: None, Conflict of Interest: None  | Check |
How to cite this article:
Robida A. A picture is worth a thousand words. Heart Views 2002;3:8 |
Comment: The patient presented at 11 months of age with congestive heart failure. An electrocardiogram showed deep Q waves in leads II, III, and AVF indicating inferior myocardial infarction (MI). The echocardiogram showed a dilated, poorly contracting left ventricle and dilated left anterior descending coronary artery. Myocardial perfusion scintigraphy demonstrated a large perfusion defect in the inferior wall. The patient suffered from Kawasaki disease at the age seven months while in his country, Iraq. He did not receive appropriate therapy during the acute stage of his illness and he subsequently developed aneurysms of the coronary and iliac arteries. The inferior MI was due to thrombosis of the right coronary artery and the thrombus probably spontaneously recanalized later. The heart failure was controlled and he was discharged on warfarin, aspirin, digoxin, and lasix.[Figure 1]
[Figure 1]
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