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Finding into death of Vincent Anthony Bonanno

Deceased

Vincent Anthony Bonanno

Demographics

22y, male

Date of death

2011-03-06

Finding date

2013-02-27

Cause of death

Ischaemic heart disease due to coronary artery atherosclerosis due to healed coronary artery aneurysms in the setting of Kawasaki disease

AI-generated summary

A 22-year-old male with a history of Kawasaki disease at 9 months of age collapsed during a football match and could not be resuscitated. Autopsy revealed significant coronary artery atherosclerosis with healed coronary artery aneurysms secondary to Kawasaki disease. The coroner found no evidence that the outcome was preventable. At the time of his childhood diagnosis over 20 years prior, there was limited knowledge about long-term cardiovascular consequences of Kawasaki disease. No established guidelines existed for follow-up evaluation of adult patients with this condition. The coroner recommended that the Royal Australasian College of Physicians consider developing guidelines for adult Kawasaki disease management.

AI-generated summary and tagging — may contain inaccuracies; refer to original finding for legal purposes.

Contributing factors

  • Kawasaki disease in infancy with subsequent coronary artery aneurysm formation
  • Coronary artery atherosclerosis development
  • Absence of established guidelines for long-term follow-up of adult Kawasaki disease patients
  • Limited medical knowledge at time of initial diagnosis regarding long-term cardiovascular consequences

Coroner's recommendations

  1. That the Royal Australasian College of Physicians give consideration to creating, or reviewing, guidelines for follow-up evaluation and treatment of adult patients with Kawasaki disease
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