Neonatal isolated coronary artery dilatation: to treat (and how) or not to treat, that’s the question!

Clara Coppola, Chiara Tornincasa, Claudia D’Andrea, Vittoria De Lucia, Roberta Kosova, Letizia Capasso, Francesco Raimondi


We describe the clinical presentation of a newborn, who received diagnosis of diffuse right coronary artery dilatation and a high origin of the same vessel, in the absence of intrauterine hypoxia or other identifiable causes of coronary artery ectasia. The relevance of the case is in the complex aetiology of congenital heart malformation. In addition, we also highlight the difficult therapeutic management of these patients, in lack of guidelines for newborn population.


coronary dilatation; cardiopathy; Kawasaki disease; Parvovirus B19; ASA; newborn

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