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Kawasaki disease (KD) is a vasculitis of medium-sized arteries of which coronary artery involvement is of particular concern. Here, we are presenting three cases of KD with coronary artery aneurysm. One patient was treated with oral antiplatelet and anticoagulant, another one with impending coronary artery occlusion was managed by infusion of thrombolytic medication and last one, neglected KD patient needed coronary artery bypass grafting.