Document Detail


Coronary artery bypass grafting for coronary artery stenosis caused by Kawasaki disease.
MedLine Citation:
PMID:  19419261     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
The prevalence of coronary artery bypass grafting (CABG) based on the annual number of Kawasaki disease patients is 0.3-0.5% in Japan. The optimal time for performing CABG should be decided with understanding the characteristics of coronary arterial lesions due to Kawasaki disease and their natural history. CABG should only be performed when the native flow is severely impaired. Once good flow in the internal thoracic artery graft 1 year after surgery is confirmed, graft patency will persist for more than 20 years. The post-CABG left ventricular ejection fraction is related to the outcome in this population. At a minimum, good coronary revascularization to the left coronary artery can avoid a poor prognosis in these patients. Good coronary revascularization would improve the quality of life and the prognosis in this population.
Authors:
Etsuko Tsuda
Publication Detail:
Type:  Journal Article; Review    
Journal Detail:
Title:  Expert review of cardiovascular therapy     Volume:  7     ISSN:  1744-8344     ISO Abbreviation:  Expert Rev Cardiovasc Ther     Publication Date:  2009 May 
Date Detail:
Created Date:  2009-05-07     Completed Date:  2009-08-24     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101182328     Medline TA:  Expert Rev Cardiovasc Ther     Country:  England    
Other Details:
Languages:  eng     Pagination:  533-9     Citation Subset:  IM    
Affiliation:
Department of Pediatrics, National Cardiovascular Center, 5-7-1 Fujishirodai, Suita-shi, Osaka, 565-8565, Japan. etsuda@hsp.ncvc.go.jp
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MeSH Terms
Descriptor/Qualifier:
Coronary Artery Bypass*
Coronary Stenosis / etiology*,  physiopathology,  surgery*
Humans
Mucocutaneous Lymph Node Syndrome / complications*,  physiopathology
Severity of Illness Index
Time Factors
Treatment Outcome
Vascular Patency

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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