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\begin{document}

\title{Giant Coronary Aneurysms in an Infant: Dilemma of MIS-C}



\author[1]{Alexandra Drury}%
\author[2]{Kelsey Wold}%
\author[3]{Steven Healan}%
\author[1]{Ashish Garg}%
\affil[1]{Washington State University Elson S Floyd College of Medicine}%
\affil[2]{Kadlec Regional Medical Center}%
\affil[3]{Providence Sacred Heart Medical Center}%


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  \date{May 24, 2024}


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\begin{abstract}
COVID-19 related MIS-C (Multisystem inflammatory syndrome in children)
can present with cardiovascular complications like shock, arrhythmias,
pericardial effusion, and coronary artery dilatation. The majority of
MIS-C associated coronary artery abnormalities are dilation or small
aneurysms which are transient and resolve in a few weeks{[}{[}1,
2{]}{]}(\#ref-0001). We present here a case of a 3-month-old child who
was noted to have giant aneurysms of her coronary arteries (LAD and RCA)
twenty-six days after testing positive for COVID-19. She was treated
with IVIG, infliximab, and glucocorticoids along with aspirin,
clopidogrel and enoxaparin. She did not show any signs of coronary
ischemia or cardiac dysfunction but continued to have persistent giant
coronary artery aneurysms involving the LAD (z-score
\textasciitilde{}35) and RCA (z-score \textasciitilde{}30) {[}Fig. 1{]}.
This study emphasizes the importance of early detection and aggressive
management of MIS-C to prevent potentially life-threatening
consequences.%
\end{abstract}%



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\verb`Coronary aneurysms final version2.docx`  available at \url{https://authorea.com/users/465029/articles/559764-giant-coronary-aneurysms-in-an-infant-dilemma-of-mis-c}

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