¿Ectasia coronaria aterosclerótica o síndrome linfomucocutáneo del adulto (enfermedad de Kawasaki)?

We report the case of a 42 year old man, who was admitted to hospital with an inferior myocardial infarction. He was treated with tissue plasminogen activator whithout complications in the acute phase. The stress testing performed before discharge showed residual myocardial ischemia.A catheterization study was indicated. The coronary angiogram demonstrated diffuse three vessel coronary artery aneurysmal disease. Two years before the patient had an aneurysm of the right iliac artery being operated on. The differential diagnosis of adult aneurysmal coronary disease is discussed with emphasis on Kawasaki's disease and atherosclerotic coronary artery ectasia.