Coronary artery bypass grafting for coronary disease due to Kawasaki disease

VernacularTitle:冠状动脉旁路移植术治疗6例儿童川崎病并发冠状动脉病变
Author: Qiang ZHAO ; Dan ZHU ; Zhe WANG ; Qingan CHEN ; Jun LIU
Publication Type:Journal Article
Keywords: Coronary artery bypass; Mucocutaneous lymph node sydrome; Myocardial ischemia
From: Chinese Journal of Thoracic and Cardiovascular Surgery 2010;26(5):322-324
CountryChina
Language:Chinese
Abstract: Objective To determine the efficacy of coronary artery bypass grafting (CABG) in children with coronary obstructive disease subsequent to Kawasaki disease. Methods Between Feb 2005 and Sep 2009, 6 children with ischemic heart disease due to Kawasaki disease comprised the study group. The age of patients at operation was ranged from 6 to 12 years with a mean of ( 8.0 ± 2.3 ) years. The preoperative EF was ranged from 0.33 to 0.71 with a mean of 0.57 ± 0.15. There was one case with moderate mitral valve regurgitation. Results All patients survived the procedures. The mean number of bypass graft was 2.0 ±0.6,with 4 internal thoracic arteries and 7 radial arteries. Mitral valve repair was employed in 1 case. The cardisc function ( NYHA and EF) was significantly improved postoperatively. Postoperative CTA showed no graft disease in all cases. Conclusion CABG using the arterial grafts can provide attractive mid-term results in patients with obstructive coronary arteries associated with Kawasaki disease.