Bilateral internal thoracic artery grafting in children under 5 years of age with Kawasaki disease: a case series.

ABSTRACT:

Background

Although persistent coronary artery aneurysm of Kawasaki disease (KD) is rare, some patients develop a life-threatening myocardial infarction. In paediatric coronary artery bypass surgery (PCABS), the internal thoracic artery (ITA) graft is a reliable graft with favourable coronary outcomes. However, few studies have reported the outcomes and technical considerations of PCABS using bilateral ITAs in small children who have multivessel disease.

Case summary

We present the cases of three children under 5 years of age who underwent PCABS utilizing bilateral ITAs. All three patients had known bilateral giant coronary aneurysms associated with KD. Paediatric coronary artery bypass surgery was indicated after confirming multiple coronary lesions with myocardial ischaemi

SUBMITTER: Shimahara Y 

PROVIDER: S-EPMC7793186 | biostudies-literature | 2020 Dec

REPOSITORIES: biostudies-literature