Coronary artery aneurysms in a young adult: a case of sudden death. A latesequelae of Kawasaki disease?

The case concerns the sudden death of a 21-year-old male during a soccer ga me. The autopsy revealed large, calcified saccular aneurysms at the origins of both the left anterior descending and the right coronary arteries, Hist ologically, the wall of the aneurysms was thin and composed of an internal fibro-calcified layer and an external thin tunica media. There was no evide nce of active inflammation. The autopsy findings and a detailed medical his tory support the diagnosis of a late fatal sequela of Kawasaki disease.