Abstract
Between June 1984 and April 1985, five patients (4.2%) had tricuspid regurgitation detected on pulsed Doppler echocardiography among 119 patients with Kawasaki disease. The grade of tricuspid regurgitation was moderate in three and mild in two patients; conventional cardiac examinations revealed no evidence of this complication. All patients had associated coronary artery aneurysms except one, but no patients developed subsequent myocardial infarction. The occurrence of tricuspid regurgitation following Kawasaki disease has been considered to be causally related to the carditis, a frequent complication during the acute febrile period of the illness. The present data indicate that tricuspid regurgitation is an additional cardiovascular complication of Kawasaki disease and that Doppler echocardiography is useful in detecting this disorder.
Similar content being viewed by others
References
Kawasaki T, Kosaki T, Okawa S, Shigematsu I, Yanagawa H (1974) A new infantile acute febrile mucocutaneous lymph node syndrome (MLNS) prevailing in Japan. Pediatrics 54: 271
Kato H, Koike S, Yamamoto M, Ito Y, Yano E (1975) Coronary aneurysms in infants and young children with acute febrile mucocutaneous lymph node syndrome. J Pediatr 86: 892
Tanaka N, Sekimoto K, Naoe S (1976) Kawasaki disease: Relationship with infantile periarteritis nodosa. Arch Pathol Lab Med 100: 81
Nakano H, Nojima K, Saito A, Ueda K (1985) High incidence of aortic regurgitation following Kawasaki disease. J Pediatr 107: 59
Waggoner AD, Quinones MA, Young JB, Brandon TA, Shah AA, Verani MS, Miller RR (1981) Pulsed Doppler echocardiographic detection of right-sided valve regurgitation. Experimental results and clinical significance. Am J Cardiol 47: 279
Lingamneni R, Cha SD, Maranhao V, Gooch AS, Goldberg H (1979) Tricuspid regurgitation: Clinical and angiographic assessment. Cath Cardiovasc Diagn 5: 7
Cairns KB, Kloster FE, Bristow JD, Lees MH, Griswold HE (1968) Problems in the hemodynamic diagnosis of tricuspid insufficiency. Am Heart J 75: 173
Miyatake K, Okamoto M, Kinoshita N, Ohta M, Kozuka T, Sakakibara H, Nimura Y (1982) Evaluation of tricuspid regurgitation by pulsed Doppler and two-dimensional echocardiography. Circulation 66: 777
Onouchi Z, Tomizawa N, Goto M, Nakata K, Fukuda M, Goto M (1975) Cardiac involvement and prognosis in acute mucocutaneous lymph node syndrome. Chest 68: 297
Fujiwara H, Kawai C, Hamashima Y (1978) Clinicopathologic study of the conduction systems in 10 patients with Kawasaki's disease (mucocutaneous lymph node syndrome). Am Heart J 96: 744
Bucciarelli RL, Nelson RM, Egan EA II, Eitzman DV, Gessner IH (1977) Transient tricuspid insufficiency of the newborn: A form of myocardial dysfunction in stressed newborns. Pediatrics 59: 330
McAllister RG Jr, Friesinger GC, Sinclair-Smith BC (1976) Tricuspid regurgitation following inferior myocardial infarction. Arch Intern Med 136: 95
Author information
Authors and Affiliations
Rights and permissions
About this article
Cite this article
Nakano, H., Ueda, K., Saito, A. et al. Doppler detection of tricuspid regurgitation following Kawasaki disease. Pediatr Radiol 16, 123–125 (1986). https://doi.org/10.1007/BF02386635
Accepted:
Issue Date:
DOI: https://doi.org/10.1007/BF02386635