Document Detail


Coronary artery bypass grafting for Kawasaki disease.
MedLine Citation:
PMID:  11922511     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Five patients with a history of Kawasaki disease underwent coronary revascularization at Children's Memorial Hospital (1988-2000). Acute disease occurred at 11 weeks to 5 years of age and revascularization procedures were performed at 8 months to 12 years (mean 6 years; interval from disease onset 5 months to 9 years). Surgical indications included abnormal stress testing with angiographic confirmation of severe coronary artery stenosis (n = 3), severe coronary artery stenosis with echocardiographic evidence of intracoronary thrombus (n = 1), and ischemic electrocardiogram changes and ventricular tachycardia during angiography (n = 1). All revascularization procedures used internal thoracic arteries including one free internal thoracic artery graft. There were no postoperative deaths (follow-up 1 month to 11 years). All patients are asymptomatic. One patient developed myocardial ischemia 4 years postoperatively with occlusion of the circumflex coronary artery (not previously grafted). This was treated successfully with percutaneous coronary angioplasty and stent placement. All grafts are patent with the exception of a single right internal thoracic artery graft which underwent involution 30 months postprocedure with concurrent recannulization of the right coronary artery. Coronary revascularization should be considered in the young patient with severe coronary abnormalities secondary to Kawasaki disease.
Authors:
N Gotteiner; C Mavroudis; C L Backer; E Pahl; C E Duffy; V Dalzell; S T Shulman
Publication Detail:
Type:  Journal Article     Date:  2002-02-19
Journal Detail:
Title:  Pediatric cardiology     Volume:  23     ISSN:  0172-0643     ISO Abbreviation:  Pediatr Cardiol     Publication Date:    2002 Jan-Feb
Date Detail:
Created Date:  2002-03-29     Completed Date:  2002-08-28     Revised Date:  2008-02-20    
Medline Journal Info:
Nlm Unique ID:  8003849     Medline TA:  Pediatr Cardiol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  62-7     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, Children's Memorial Hospital, Northwestern University Medical School, Chicago, IL 60614, USA.
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MeSH Terms
Descriptor/Qualifier:
Child
Child, Preschool
Coronary Angiography
Coronary Artery Bypass*
Echocardiography
Female
Follow-Up Studies
Humans
Infant
Male
Mucocutaneous Lymph Node Syndrome / surgery*
Retrospective Studies
Saphenous Vein / surgery
Treatment Outcome

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