“…With a prevalence of 50%, atherosclerosis is the most common cause of CE. Kawasaki disease is frequent in children; approximately 17% of cases of CE are congenital, and 10-20% of them are linked to inflammatory or connective tissue disease, followed by inherited collagen defects, and iatrogenic causes such as Percutaneous Intervention (PCI) and PA, which are quite rare [1]. Its pathophysiology is controversially proposed as endothelial dysfunction, chronic inflammation, and fibrosis, induced by a high level of aldosterone in the blood, which can then cause an exaggerated expansive remodeling of the media, which may be responsible for media thinning [4].…”