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A 14-year-old girl in whom Kawasaki's disease was diagnosed at the age of 2 years had a posterior myocardial infarction at the age of 3 years. When we saw her she had signs of mild mitral regurgitation but no symptoms. Transthoracic echocardiography demonstrated a giant aneurysm involving the left main coronary artery. On exercise testing she had ST-segment depression in leads I, II, V4, and V5. Exercise echocardiography confirmed the presence of severe, reversible ischemia of the midportion and distal portion of the anterior wall, apex, distal septum, and lateral wall of the left ventricle. A chest film . . . [Full Text of this Article] |