Document Detail

Internal mammary artery grafting for coronary hypoperfusion in children.
MedLine Citation:
PMID:  20824591     Owner:  NLM     Status:  MEDLINE    
BACKGROUND: Pediatric coronary artery bypass is performed for ischemic complications of Kawasaki disease, congenital coronary anomalies, and iatrogenic pediatric coronary artery problems.
METHODS: We performed myocardial revascularization using the internal mammary artery in 6 children. A review of outcomes is presented here. Patient ages ranged from 7 days to 10 years.
RESULTS: There was no operative mortality. All coronary bypass grafts were patent at 3 months to 3 years postoperatively. No patient had recurrent angina or showed signs of myocardial ischemia.
CONCLUSION: Internal mammary artery bypass grafting can be successfully performed in infants and children with good results. Long-term patency and growth of the anastomosis of the distal vessel are not clear, but good clinical and angiographic results have been reported even after 25 years.
C Vuran; P Simon; G Wollenek
Publication Detail:
Type:  Journal Article     Date:  2010-09-07
Journal Detail:
Title:  The Thoracic and cardiovascular surgeon     Volume:  58     ISSN:  1439-1902     ISO Abbreviation:  Thorac Cardiovasc Surg     Publication Date:  2010 Sep 
Date Detail:
Created Date:  2010-09-08     Completed Date:  2010-12-28     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  7903387     Medline TA:  Thorac Cardiovasc Surg     Country:  Germany    
Other Details:
Languages:  eng     Pagination:  359-60     Citation Subset:  IM    
Copyright Information:
Georg Thieme Verlag KG Stuttgart, New York.
Department of Cardiovascular Surgery, Baskent University, Istanbul, Turkey.
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MeSH Terms
Coronary Circulation*
Coronary Vessels / physiopathology,  surgery*
Infant, Newborn
Internal Mammary-Coronary Artery Anastomosis* / adverse effects
Myocardial Ischemia / etiology,  physiopathology,  radiography,  surgery*
Time Factors
Treatment Outcome
Vascular Patency

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

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